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NPI 1093341455

NPI 1093341455 : RAINBOW VIEW SENIOR CARE LPA, LLC : HEMET, CA

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General NPI Number Information
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    NPI Number           |    1093341455
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    Entity Type          |    Organization 
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    Legal Business Name  |    RAINBOW VIEW SENIOR CARE LPA, LLC 
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Dates
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    Enumeration Date     |    03/18/2020
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    Last Update Date     |    03/18/2020
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Provider Practice Location Address
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    Address Line         |    4170 RAINBOW VIEW WAY 
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    City                 |    HEMET
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    State                |    CA
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    Zip                  |    92545
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    Country              |    US
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    Telephone            |    949-290-8661
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    Fax                  |    951-392-3687
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Provider Business Mailing Address
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    Address Line         |    4170 RAINBOW VIEW WAY 
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    City                 |    HEMET
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    State                |    CA
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    Zip                  |    92545
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    Country              |    US
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    Telephone            |    949-290-8661
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    Fax                  |    951-392-3687
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Authorized Official
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    Title or Position    |    ADMINISTRATOR/LICENSEE
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    Name                 |     LORENA PABELLON ALANDY 
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    Credential           |    
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    Telephone            |    949-290-8661
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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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