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General NPI Number Information
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NPI Number | 1881291326
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Entity Type | Organization
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Legal Business Name | COMFORT CARE ADULT DAY HEALTH CARE CENTER INC.
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Dates
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Enumeration Date | 10/07/2020
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Last Update Date | 10/07/2020
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Provider Practice Location Address
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Address Line | 3401 RIO HONDO AVE
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City | EL MONTE
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State | CA
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Zip | 91731-2919
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Country | US
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Telephone | 818-321-7493
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Fax |
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Provider Business Mailing Address
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Address Line | 6315 ETHEL AVE
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City | VAN NUYS
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State | CA
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Zip | 91401-2524
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Country | US
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Telephone | 818-321-7493
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Fax |
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Authorized Official
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Title or Position | OWNER/PROGRAM DIRECTOR
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Name | GAYANE KIRAKOSYAN
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Credential |
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Telephone | 818-321-7493
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA0600X
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Taxonomy Name | Adult Day Care Clinic/Center
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License Number |
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License Number State |
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