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General NPI Number Information
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NPI Number | 1619033826
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Entity Type | Organization
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Legal Business Name | LIFE'S GOLDEN HORIZONS, INC
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Dates
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Enumeration Date | 12/29/2006
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Last Update Date | 07/24/2024
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Provider Practice Location Address
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Address Line | 44902 10TH ST W
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City | LANCASTER
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State | CA
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Zip | 93534-2314
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Country | US
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Telephone | 661-949-6278
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Fax | 661-949-6768
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Provider Business Mailing Address
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Address Line | 42212 10TH ST W STE 8
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City | LANCASTER
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State | CA
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Zip | 93534-7005
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Country | US
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Telephone | 661-949-6278
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Fax | 661-949-6768
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MR. YOUNG HIRO
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Credential |
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Telephone | 661-949-6278
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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 | 060000760
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License Number State | CA
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