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General NPI Number Information
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NPI Number | 1538609961
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Entity Type | Organization
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Legal Business Name | HEALTHY LIFE HOME SERVICES, INC
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Dates
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Enumeration Date | 03/04/2017
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Last Update Date | 03/17/2023
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Provider Practice Location Address
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Address Line | 4730 WOODMAN AVE STE 305
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City | SHERMAN OAKS
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State | CA
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Zip | 91423-2427
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Country | US
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Telephone | 818-962-8661
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Fax | 818-208-0982
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Provider Business Mailing Address
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Address Line | 4730 WOODMAN AVE STE 305
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City | SHERMAN OAKS
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State | CA
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Zip | 91423-2427
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Country | US
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Telephone | 818-962-8661
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Fax | 818-208-0982
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Authorized Official
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Title or Position | OWNER
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Name | MRS. LOUSIK AIRAPETIAN
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Credential |
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Telephone | 323-821-0001
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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