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General NPI Number Information
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NPI Number | 1023832524
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Entity Type | Organization
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Legal Business Name | DESERT COVE ASSISTED LIVING LLC
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Dates
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Enumeration Date | 11/12/2024
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Last Update Date | 11/12/2024
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Provider Practice Location Address
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Address Line | 13660 MOUNTAIN VIEW RD
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City | DESERT HOT SPRINGS
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State | CA
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Zip | 92240-6454
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Country | US
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Telephone | 760-671-7820
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Fax |
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Provider Business Mailing Address
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Address Line | 23 CORPORATE PLAZA DR STE 150
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City | NEWPORT BEACH
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State | CA
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Zip | 92660-7908
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Country | US
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Telephone | 949-648-2737
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MRS. GINGER PO
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Credential |
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Telephone | 949-648-2737
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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 |
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License Number State |
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