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General NPI Number Information
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NPI Number | 1538354485
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Entity Type | Organization
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Legal Business Name | AIKO HOME CARE SERVICES, INC.
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Dates
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Enumeration Date | 09/12/2007
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Last Update Date | 09/12/2007
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Provider Practice Location Address
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Address Line | 2500 WILSHIRE BLVD STE 837
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City | LOS ANGELES
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State | CA
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Zip | 90057-4324
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Country | US
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Telephone | 213-382-8939
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Fax | 213-382-8927
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Provider Business Mailing Address
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Address Line | 2500 WILSHIRE BLVD STE 837
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City | LOS ANGELES
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State | CA
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Zip | 90057-4324
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Country | US
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Telephone | 213-382-8939
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Fax | 213-382-8927
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Authorized Official
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Title or Position | CEO
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Name | JOSHUA P. GBASIN
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Credential | MBA
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Telephone | 615-479-4808
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 311ZA0620X
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Taxonomy Name | Adult Care Home Facility
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License Number | 000210950300013
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License Number State | CA
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