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General NPI Number Information
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NPI Number | 1548894843
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Entity Type | Organization
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Legal Business Name | NORTH HILLS RETIREMENT HOTEL, INC.
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Dates
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Enumeration Date | 02/25/2020
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Last Update Date | 02/27/2020
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Provider Practice Location Address
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Address Line | 10215 BALBOA BLVD
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City | NORTHRIDGE
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State | CA
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Zip | 91325-1615
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Country | US
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Telephone | 818-368-8581
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Fax | 818-368-8583
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Provider Business Mailing Address
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Address Line | 10215 BALBOA BLVD
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City | NORTHRIDGE
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State | CA
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Zip | 91325-1615
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Country | US
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Telephone | 818-368-8581
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Fax | 818-368-8583
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Authorized Official
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Title or Position | OWNER, ADMINISTRATOR
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Name | MR. CHARLES ARRIETA
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Credential |
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Telephone | 626-353-4875
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number |
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License Number State |
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