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General NPI Number Information
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NPI Number | 1063115657
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Entity Type | Organization
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Legal Business Name | ST.FRANCIS ALF, LLC
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Dates
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Enumeration Date | 03/23/2023
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Last Update Date | 03/23/2023
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Provider Practice Location Address
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Address Line | 2820 PAN AMERICAN BLVD
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City | NORTH PORT
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State | FL
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Zip | 34287-1733
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Country | US
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Telephone | 941-770-6007
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Fax | 941-770-6012
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Provider Business Mailing Address
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Address Line | 2820 PAN AMERICAN BLVD
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City | NORTH PORT
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State | FL
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Zip | 34287-1733
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Country | US
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Telephone | 941-770-6007
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Fax | 941-770-6012
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | DAMARIS L. DE LA PORTILLA
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Credential | BS
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Telephone | 305-389-2370
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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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