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General NPI Number Information
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NPI Number | 1730322884
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Entity Type | Organization
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Legal Business Name | SANTA HOME HEALTH CARE INC.
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Dates
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Enumeration Date | 04/18/2009
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Last Update Date | 08/18/2015
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Provider Practice Location Address
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Address Line | 8281 MELROSE AVE. SUITE #205
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City | LOS ANGELES
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State | CA
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Zip | 90046-6890
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Country | US
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Telephone | 323-933-3656
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Fax | 323-933-3682
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Provider Business Mailing Address
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Address Line | 8281 MELROSE AVE SUITE #205
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City | LOS ANGELES
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State | CA
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Zip | 90046-6832
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Country | US
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Telephone | 323-933-3656
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Fax | 323-933-3682
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Authorized Official
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Title or Position | PRESIDENT
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Name | IDA GRAVICH
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Credential |
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Telephone | 323-933-3656
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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 |
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License Number State |
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