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General NPI Number Information
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NPI Number | 1942829114
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Entity Type | Organization
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Legal Business Name | ARA VILLA RESIDENTIAL CARE HOME , INC
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Dates
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Enumeration Date | 04/08/2020
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Last Update Date | 09/09/2022
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Provider Practice Location Address
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Address Line | 15955 KALISHER ST
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City | GRANADA HILLS
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State | CA
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Zip | 91344-3951
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Country | US
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Telephone | 747-333-1100
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Fax |
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Provider Business Mailing Address
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Address Line | 8455 SPRINGFORD DR
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City | SUN VALLEY
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State | CA
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Zip | 91352-3649
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Country | US
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Telephone | 818-966-7776
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | EDUARD HAKOBYAN
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Credential |
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Telephone | 747-333-1100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number |
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License Number State |
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