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General NPI Number Information
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NPI Number | 1093554669
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Entity Type | Organization
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Legal Business Name | ARCADIA ASSISTED LIVING FACILITY LLC
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Dates
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Enumeration Date | 05/22/2024
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Last Update Date | 05/22/2024
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Provider Practice Location Address
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Address Line | 1910 PACIFIC AVE STE 6047
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City | DALLAS
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State | TX
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Zip | 75201-4559
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Country | US
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Telephone | 682-772-0900
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Fax | 682-228-5838
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Provider Business Mailing Address
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Address Line | 1910 PACIFIC AVE STE 6047
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City | DALLAS
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State | TX
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Zip | 75201-4559
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Country | US
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Telephone | 682-772-0900
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Fax | 682-228-5838
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Authorized Official
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Title or Position | OWNER
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Name | REGINA A WREN
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Credential | MBA, BSN, RN-BC
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Telephone | 682-772-0900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3104A0630X
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Taxonomy Name | Assisted Living Facility (Behavioral Disturbances)
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License Number |
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License Number State |
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Taxonomy #2
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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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Taxonomy #3
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Taxonomy Code | 311Z00000X
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Taxonomy Name | Custodial Care Facility
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 311ZA0620X
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Taxonomy Name | Adult Care Home Facility
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License Number |
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License Number State |
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Taxonomy #5
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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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