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General NPI Number Information
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NPI Number | 1114733466
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Entity Type | Organization
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Legal Business Name | ARCADIAN ADULT FAMILY HOME LLC
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Dates
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Enumeration Date | 12/10/2024
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Last Update Date | 12/10/2024
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Provider Practice Location Address
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Address Line | 7910 E PRINCETON AVE
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City | SPOKANE
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State | WA
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Zip | 99212-1715
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Country | US
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Telephone | 509-934-1944
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Fax | 509-934-1929
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Provider Business Mailing Address
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Address Line | 7910 E PRINCETON AVE
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City | SPOKANE
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State | WA
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Zip | 99212-1715
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Country | US
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Telephone | 509-934-1944
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Fax | 509-934-1929
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Authorized Official
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Title or Position | FACILITY MANAGER
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Name | BETTY KANGARA
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Credential |
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Telephone | 202-821-2736
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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 |
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License Number State |
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