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NPI 1073436705

NPI 1073436705 : JUST LIKE HOME, LLC : SHELTON, CT

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General NPI Number Information
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    NPI Number           |    1073436705
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    Entity Type          |    Organization 
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    Legal Business Name  |    JUST LIKE HOME, LLC 
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Dates
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    Enumeration Date     |    07/31/2026
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    Last Update Date     |    07/31/2026
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Provider Practice Location Address
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    Address Line         |    757 LONG HILL AVE 
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    City                 |    SHELTON
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    State                |    CT
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    Zip                  |    06484-5408
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    Country              |    US
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    Telephone            |    203-689-7562
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    Fax                  |    213-566-8931
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Provider Business Mailing Address
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    Address Line         |    22 REGENT CT 
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    City                 |    STAMFORD
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    State                |    CT
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    Zip                  |    06907-1423
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    Country              |    US
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    Telephone            |    203-689-7562
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    Fax                  |    213-566-8931
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Authorized Official
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    Title or Position    |    MANAGING MEMBER
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    Name                 |     DEIRDRE JP VIRVO 
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    Credential           |    
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    Telephone            |    203-570-4839
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    311500000X
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    Taxonomy Name        |    Alzheimer Center (Dementia Center)
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    License Number       |    
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    License Number State |    
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