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General NPI Number Information
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NPI Number | 1043497597
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Entity Type | Organization
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Legal Business Name | RILIZ HOME, CORP
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Dates
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Enumeration Date | 01/28/2008
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Last Update Date | 01/28/2008
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Provider Practice Location Address
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Address Line | 8777 NW 110TH ST
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City | HIALEAH GARDENS
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State | FL
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Zip | 33018-4510
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Country | US
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Telephone | 305-825-4270
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Fax |
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Provider Business Mailing Address
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Address Line | 8777 NW 110TH ST
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City | HIALEAH GARDENS
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State | FL
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Zip | 33018-4510
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Country | US
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Telephone | 305-825-4270
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. OBDULIA REGUEIRA
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Credential |
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Telephone | 305-825-4270
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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 | AL11177
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License Number State | FL
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