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General NPI Number Information
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NPI Number | 1083105985
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Entity Type | Organization
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Legal Business Name | SCHWEICHLER ADULT CARE HOMES, LLC
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Dates
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Enumeration Date | 05/25/2018
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Last Update Date | 05/25/2018
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Provider Practice Location Address
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Address Line | 7746 E LATHAM ST
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City | SCOTTSDALE
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State | AZ
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Zip | 85257-3734
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Country | US
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Telephone | 480-621-5125
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Fax | 480-621-5125
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Provider Business Mailing Address
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Address Line | 2118 S ROANOKE ST
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City | GILBERT
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State | AZ
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Zip | 85295-9106
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Country | US
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Telephone | 480-861-0874
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Fax | 480-279-2623
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Authorized Official
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Title or Position | OWNER/MANAGER
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Name | NENITA G SCHWEICHLER
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Credential |
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Telephone | 480-861-0874
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | BH5404
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License Number State | AZ
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