MEDICARE: ARLIGNTON HOME CARE, 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
1	320600000X	Intellectual and/or Developmental Disabilities Residential Treatment Facility		CA

General Provider Information

NPI Number	:	1942468020
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ARLIGNTON HOME CARE, INC

Provider Business Mailing Address
First Line	:	2209 ARLINGTON AVE
Second Line	:
City	:	TORRANCE
State	:	CA
Zip	:	90501-4439
Country	:	US
Telephone Number	:	310-212-6365
Fax Number	:	310-320-1924

Provider Business Practice Location Address
First Line	:	2209 ARLINGTON AVE
Second Line	:
City	:	TORRANCE
State	:	CA
Zip	:	90501-4439
Country	:	US
Telephone Number	:	310-212-6365
Fax Number	:	310-320-1924

Authorized Official
Title or Position	:	PRESIDENT CEO
Name	:	PRITAM S MATHARU
Credential	:
Telephone Number	:	310-212-6365

Provider Enumeration Date	:	05/27/2008
Last Update Date	:	05/27/2008

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