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General NPI Number Information
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NPI Number | 1841406436
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Entity Type | Organization
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Legal Business Name | SILVER WISDOM ADULT DAY HEALTHCARE CENTER, INC.
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Dates
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Enumeration Date | 05/14/2007
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Last Update Date | 07/18/2025
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Provider Practice Location Address
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Address Line | 1714 IVAR AVE STE A
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City | HOLLYWOOD
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State | CA
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Zip | 90028-5155
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Country | US
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Telephone | 323-464-9161
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Fax | 323-464-9166
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Provider Business Mailing Address
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Address Line | 1714 IVAR AVE
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City | HOLLYWOOD
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State | CA
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Zip | 90028-5124
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Country | US
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Telephone | 323-464-9161
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Fax | 323-464-9166
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Authorized Official
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Title or Position | CEO
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Name | MR. TIGRAN TIKO OHANIAN
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Credential |
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Telephone | 323-464-9161
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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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 | 261QA0600X
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Taxonomy Name | Adult Day Care Clinic/Center
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License Number | 060000816
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License Number State | CA
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