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General NPI Number Information
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NPI Number | 1659432284
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Entity Type | Organization
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Legal Business Name | HEALTH GUARD ADULT DAY HEALTH CARE
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Dates
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Enumeration Date | 12/13/2006
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Last Update Date | 10/11/2024
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Provider Practice Location Address
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Address Line | 5648-5652 VINELAND AVE.
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City | NORTH HOLLYWOOD
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State | CA
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Zip | 91601
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Country | US
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Telephone | 818-760-7727
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Fax | 818-760-7747
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Provider Business Mailing Address
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Address Line | 5648-5652 VINELAND AVE.
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City | NORTH HOLLYWOOD
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State | CA
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Zip | 91601
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Country | US
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Telephone | 818-760-7727
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Fax | 818-760-7747
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. MARINA ISOUNTS
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Credential |
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Telephone | 818-419-9914
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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 | 060000657
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License Number State | CA
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