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General NPI Number Information
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NPI Number | 1013056035
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Entity Type | Organization
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Legal Business Name | ANGEL HOUSE FCH LLC
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Dates
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Enumeration Date | 02/06/2007
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Last Update Date | 11/02/2023
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Provider Practice Location Address
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Address Line | 60-D HORNOT CRL
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City | ASHEVILLE
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State | NC
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Zip | 28806-3949
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Country | US
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Telephone | 828-285-0460
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Fax | 828-285-0460
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Provider Business Mailing Address
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Address Line | 60 D HORNOT CIRCLE
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City | ASHEVILLE
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State | NC
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Zip | 28806-3974
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Country | US
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Telephone | 828-582-7466
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Fax | 828-505-8717
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Authorized Official
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Title or Position | ADMINISTRATOR/OWNER
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Name | BIANKA NATASCHA-FAISON GRAY
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Credential |
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Telephone | 828-582-7466
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 311ZA0620X
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Taxonomy Name | Adult Care Home Facility
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License Number |
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License Number State |
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