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General NPI Number Information
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NPI Number | 1104057561
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Entity Type | Organization
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Legal Business Name | A BETTER LIFE CHRISTIAN FAMILY CARE, LLC
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Dates
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Enumeration Date | 08/04/2009
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Last Update Date | 08/04/2009
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Provider Practice Location Address
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Address Line | 1030 ALAMANCE CT
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City | GREENSBORO
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State | NC
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Zip | 27406-3806
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Country | US
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Telephone | 336-275-2590
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Fax | 336-275-3607
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Provider Business Mailing Address
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Address Line | PO BOX 16332
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City | GREENSBORO
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State | NC
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Zip | 27416-0332
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Country | US
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Telephone | 336-275-2590
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Fax | 336-275-3607
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Authorized Official
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Title or Position | OWNER/ADMINISTRATOR
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Name | MS. ERNESTINE MCKNIGHT
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Credential |
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Telephone | 336-275-2590
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 311ZA0620X
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Taxonomy Name | Adult Care Home Facility
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License Number | FCL-041-066
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License Number State | NC
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