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General NPI Number Information
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NPI Number | 1639320005
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Entity Type | Organization
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Legal Business Name | JCL HOME CARE SERVICES INC.
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Dates
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Enumeration Date | 10/03/2008
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Last Update Date | 10/03/2008
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Provider Practice Location Address
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Address Line | 23948 CALIFA ST
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City | WOODLAND HILLS
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State | CA
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Zip | 91367-2955
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Country | US
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Telephone | 818-992-7665
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Fax | 818-500-7315
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Provider Business Mailing Address
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Address Line | 23948 CALIFA ST
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City | WOODLAND HILLS
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State | CA
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Zip | 91367-2955
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Country | US
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Telephone | 818-992-7665
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Fax | 818-500-7315
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | LEONARD ROY LANSANGAN
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Credential |
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Telephone | 818-321-7338
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 311Z00000X
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Taxonomy Name | Custodial Care Facility
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 311ZA0620X
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Taxonomy Name | Adult Care Home Facility
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License Number |
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License Number State |
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