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General NPI Number Information
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NPI Number | 1053240465
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Entity Type | Organization
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Legal Business Name | GRACE WOODS PERSONAL CARE CENTER OPCO LLC
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Dates
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Enumeration Date | 05/14/2026
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Last Update Date | 05/14/2026
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Provider Practice Location Address
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Address Line | 2016 W WASHINGTON ST
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City | NEW CASTLE
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State | PA
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Zip | 16101-1145
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Country | US
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Telephone | 724-698-7400
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Fax |
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Provider Business Mailing Address
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Address Line | 2016 W WASHINGTON ST
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City | NEW CASTLE
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State | PA
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Zip | 16101-1145
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Country | US
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Telephone | 724-698-7400
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Fax |
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Authorized Official
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Title or Position | C.E.O.
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Name | EDWARD FABIAN
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Credential |
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Telephone | 330-559-9344
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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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