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General NPI Number Information
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NPI Number | 1972909919
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Entity Type | Organization
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Legal Business Name | GOOD HANDS SENIOR CARE, LLC
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Dates
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Enumeration Date | 11/18/2014
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Last Update Date | 11/18/2014
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Provider Practice Location Address
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Address Line | 1912 MAPLE ST
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City | SANTA ANA
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State | CA
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Zip | 92707-2812
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Country | US
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Telephone | 949-878-0137
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Fax |
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Provider Business Mailing Address
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Address Line | 1912 MAPLE ST
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City | SANTA ANA
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State | CA
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Zip | 92707-2812
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Country | US
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Telephone | 949-878-0137
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/ADMINISTRATOR
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Name | DANIEL JINWANG YOO
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Credential |
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Telephone | 949-878-0137
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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 | 306004453
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License Number State | CA
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