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General NPI Number Information
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NPI Number | 1659710598
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Entity Type | Organization
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Legal Business Name | DESERT VALLEY HOME HEALTH, INC.
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Dates
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Enumeration Date | 06/24/2013
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Last Update Date | 03/25/2019
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Provider Practice Location Address
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Address Line | 12241 INDUSTRIAL BLVD STE 106
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City | VICTORVILLE
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State | CA
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Zip | 92395-7795
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Country | US
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Telephone | 760-383-2555
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Fax |
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Provider Business Mailing Address
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Address Line | 12402 INDUSTRIAL BLVD SUITE A-8
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City | VICTORVILLE
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State | CA
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Zip | 92395-5871
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MR. KAREN SARKISYAN
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Credential |
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Telephone | 760-383-2555
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 550002621
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License Number State | CA
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