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NPI 1841351343

NPI 1841351343 : ALL CARE ENTERPRISES INC. : GARDENA, CA

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General NPI Number Information
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    NPI Number           |    1841351343
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    Entity Type          |    Organization 
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    Legal Business Name  |    ALL CARE ENTERPRISES INC. 
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Dates
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    Enumeration Date     |    12/12/2006
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    Last Update Date     |    09/11/2012
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Provider Practice Location Address
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    Address Line         |    1225 W 190TH ST STE 260 
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    City                 |    GARDENA
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    State                |    CA
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    Zip                  |    90248-4305
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    Country              |    US
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    Telephone            |    310-768-1600
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    Fax                  |    310-768-8400
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Provider Business Mailing Address
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    Address Line         |    1225 W 190TH ST STE 260 
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    City                 |    GARDENA
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    State                |    CA
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    Zip                  |    90248-4305
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    Country              |    US
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    Telephone            |    310-768-1600
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    Fax                  |    310-768-8400
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Authorized Official
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    Title or Position    |    ADMINISTRATOR
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    Name                 |    MR. ROBERT  OLIE 
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    Credential           |    
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    Telephone            |    310-768-1600
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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       |    980001556
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    License Number State |    CA
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