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General NPI Number Information
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NPI Number | 1073730156
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Entity Type | Organization
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Legal Business Name | SKY PARK GARDENS ASSISTED LIVING
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Dates
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Enumeration Date | 04/19/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 5510 SKY PKWY
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City | SACRAMENTO
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State | CA
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Zip | 95823-2275
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Country | US
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Telephone | 916-422-5650
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Fax |
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Provider Business Mailing Address
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Address Line | 5510 SKY PKWY
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City | SACRAMENTO
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State | CA
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Zip | 95823-2275
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Country | US
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Telephone | 916-422-5650
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | JOE L JOHNSON
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Credential | RN, MBA, NHA
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Telephone | 916-422-5650
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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 | CA
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