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General NPI Number Information
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NPI Number | 1013802032
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Entity Type | Organization
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Legal Business Name | ST. MATTHEW'S HOME FOR THE ELDERLY
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Dates
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Enumeration Date | 06/10/2025
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Last Update Date | 06/10/2025
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Provider Practice Location Address
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Address Line | 1042 CLARADAY ST
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City | GLENDORA
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State | CA
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Zip | 91740-6180
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Country | US
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Telephone | 626-253-5806
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Fax |
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Provider Business Mailing Address
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Address Line | 1230 CALLE ESTRELLA
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City | SAN DIMAS
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State | CA
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Zip | 91773-4079
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Country | US
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Telephone | 626-253-5806
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Fax | 626-380-4774
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Authorized Official
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Title or Position | OWNER
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Name | TERRY MCGEE
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Credential |
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Telephone | 626-253-5806
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number |
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License Number State |
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