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NPI Code Detail

MEDICARE: ADULT CARE HOME HEALTH AGENCY INC.

MEDICARE: ADULT CARE HOME HEALTH AGENCY INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251E00000XHome Health Agency550002001CA

General Provider Information

NPI Number : 1437430790
Entity Type Code : Organization
Provider Name (Legal Business Name) : ADULT CARE HOME HEALTH AGENCY INC.
Provider Business Mailing Address
First Line : 1007 S CENTRAL AVE STE 103
Second Line :
City : GLENDALE
State : CA
Zip : 91204-3970
Country : US
Telephone Number : 818-696-2270
Fax Number : 818-696-2271
Provider Business Practice Location Address
First Line : 1007 S CENTRAL AVE STE 103
Second Line :
City : GLENDALE
State : CA
Zip : 91204-3970
Country : US
Telephone Number : 818-696-2270
Fax Number : 818-696-2271
Authorized Official
Title or Position : CEO
Name : GEORGE MACHALANI
Credential :
Telephone Number : 818-696-2270
Provider Enumeration Date : 08/31/2011
Last Update Date : 07/01/2016

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Directions to “ADULT CARE HOME HEALTH AGENCY INC. ” Practice Location

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