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NPI 1598882169

NPI 1598882169 : OPEN ARMS ADHC, INC. : CHULA VISTA, CA

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General NPI Number Information
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    NPI Number           |    1598882169
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    Entity Type          |    Organization 
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    Legal Business Name  |    OPEN ARMS ADHC, INC. 
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Dates
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    Enumeration Date     |    03/26/2007
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    Last Update Date     |    12/15/2022
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Provider Practice Location Address
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    Address Line         |    301 E J ST 
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    City                 |    CHULA VISTA
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    State                |    CA
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    Zip                  |    91910-6223
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    Country              |    US
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    Telephone            |    619-420-1404
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    PO BOX 27 
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    City                 |    NATIONAL CITY
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    State                |    CA
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    Zip                  |    91951-0027
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    Country              |    US
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    Telephone            |    619-420-1404
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    Fax                  |    
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Authorized Official
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    Title or Position    |    SHAREHOLDER
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    Name                 |     SAMIR  YONO 
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    Credential           |    
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    Telephone            |    480-370-0023
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    261QA0600X
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    Taxonomy Name        |    Adult Day Care Clinic/Center
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    License Number       |    
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    License Number State |    
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