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General NPI Number Information
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NPI Number | 1861148637
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Entity Type | Organization
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Legal Business Name | YOUNG MEMORIES HOME HEALTH CARE
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Dates
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Enumeration Date | 03/01/2022
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Last Update Date | 03/01/2022
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Provider Practice Location Address
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Address Line | 19725 SHERMAN WAY STE 390
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City | WINNETKA
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State | CA
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Zip | 91306-3661
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Country | US
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Telephone | 818-900-1272
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Fax | 818-484-3607
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Provider Business Mailing Address
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Address Line | 19725 SHERMAN WAY STE 390
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City | WINNETKA
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State | CA
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Zip | 91306-3661
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Country | US
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Telephone | 818-900-1272
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Fax | 818-484-3607
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Authorized Official
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Title or Position | CEO
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Name | NAREK SARKISSIAN
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Credential |
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Telephone | 818-900-1272
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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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