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Organization

CLASSIC WAVE CORPORATION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. ARTUR BUTUNTS (PRESIDENT/CEO)
(626) 304-9852
Entity
Organization

Contact information

Practice address
3815 E COLORADO BLVD, PASADENA, CA 91107-3935
(626) 304-9852
(626) 304-9872
Mailing address
3815 E COLORADO BLVD, PASADENA, CA 91107-3935
(626) 304-9852
(626) 304-9872

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary

Other

Enumeration date
12/31/2008
Last updated
12/31/2008
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