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General NPI Number Information
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NPI Number | 1003251067
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Entity Type | Organization
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Legal Business Name | CASA BELLA HOME CARE INC
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Dates
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Enumeration Date | 05/05/2013
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Last Update Date | 05/05/2013
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Provider Practice Location Address
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Address Line | 7390 WOODLAND CREEK LN
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City | LAKE WORTH
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State | FL
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Zip | 33467-6540
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Country | US
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Telephone | 561-641-8594
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Fax | 561-641-8594
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Provider Business Mailing Address
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Address Line | 7390 WOODLAND CREEK LN
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City | LAKE WORTH
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State | FL
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Zip | 33467-6540
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Country | US
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Telephone | 561-641-8594
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Fax | 561-641-8594
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Authorized Official
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Title or Position | OWNER/ADMINISTRATOR
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Name | MRS. BARBARA DINORAT SERRANO
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Credential |
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Telephone | 561-541-8281
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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 | AL 12148
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License Number State | FL
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