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NPI 1104134030

NPI 1104134030 : SOLUTIONS FOR INDEPENDENT LIVING : GREENACERS, FL

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General NPI Number Information
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    NPI Number           |    1104134030
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    Entity Type          |    Organization 
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    Legal Business Name  |    SOLUTIONS FOR INDEPENDENT LIVING 
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Dates
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    Enumeration Date     |    09/14/2010
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    Last Update Date     |    09/14/2010
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Provider Practice Location Address
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    Address Line         |    6801 LAKE WORTH ROAD 101
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    City                 |    GREENACERS
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    State                |    FL
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    Zip                  |    33463
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    Country              |    US
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    Telephone            |    561-594-2732
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    Fax                  |    561-333-2466
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Provider Business Mailing Address
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    Address Line         |    6801 LAKE WORTH ROAD 101
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    City                 |    GREENACERS
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    State                |    FL
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    Zip                  |    33463
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    Country              |    US
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    Telephone            |    561-594-2732
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    Fax                  |    561-333-2466
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |    MS. MICHELLE LORICE GRIER 
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    Credential           |    
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    Telephone            |    561-595-2732
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    385H00000X
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    Taxonomy Name        |    Respite Care
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    License Number       |    
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    License Number State |    FL
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