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General NPI Number Information
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NPI Number | 1003621210
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Entity Type | Organization
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Legal Business Name | SAFE HARBOR AMORE LLC
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Dates
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Enumeration Date | 02/13/2025
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Last Update Date | 05/13/2025
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Provider Practice Location Address
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Address Line | 7364 LAGOON ROAD,
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City | SPRING HILL
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State | FL
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Zip | 34606
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Country | US
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Telephone | 909-688-9953
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Fax |
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Provider Business Mailing Address
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Address Line | 7364 LAGOON ROAD,
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City | SPRING HILL
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State | FL
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Zip | 34606
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Country | US
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Telephone | 909-688-9953
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Fax |
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Authorized Official
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Title or Position | SAFE HARBOR AMORE, PRINCIPAL
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Name | MS. KELECHI EMMANUELA IBEH
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Credential |
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Telephone | 909-688-9953
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA0600X
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Taxonomy Name | Adult Day Care Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3104A0625X
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Taxonomy Name | Assisted Living Facility (Mental Illness)
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 3104A0630X
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Taxonomy Name | Assisted Living Facility (Behavioral Disturbances)
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number |
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License Number State |
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