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General NPI Number Information
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NPI Number | 1023277357
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Entity Type | Organization
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Legal Business Name | MOTHER'S LOVE & CARE CENTER 2 LLC
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Dates
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Enumeration Date | 06/02/2008
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Last Update Date | 06/02/2008
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Provider Practice Location Address
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Address Line | 4130 GARLAN LN
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City | RENO
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State | NV
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Zip | 89509-5438
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Country | US
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Telephone | 775-828-5470
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Fax | 775-828-9816
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Provider Business Mailing Address
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Address Line | 4130 GARLAN LN
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City | RENO
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State | NV
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Zip | 89509-5438
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Country | US
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Telephone | 775-828-5470
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Fax | 775-828-9816
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Authorized Official
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Title or Position | OWNER
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Name | MRS. IMELDA GUINA MILLARE
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Credential | ADMINISTRATOR
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Telephone | 775-828-5470
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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 | 308AGC-13
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License Number State | NV
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