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General NPI Number Information
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NPI Number | 1124178983
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Entity Type | Organization
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Legal Business Name | JAN & GAIL'S CARE HOMES INC
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Dates
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Enumeration Date | 01/11/2007
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Last Update Date | 11/30/2023
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Provider Practice Location Address
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Address Line | 134 N SANTA CLARA ST
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City | TULARE
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State | CA
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Zip | 93274-3540
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Country | US
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Telephone | 559-686-3090
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Fax | 558-688-3611
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Provider Business Mailing Address
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Address Line | 2115 REAGAN ST
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City | TULARE
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State | CA
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Zip | 93274-8327
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Country | US
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Telephone | 559-788-9638
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Fax | 558-688-3611
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Authorized Official
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Title or Position | RN /ADMINISTRATOR
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Name | GAIL LOUISE SOLORIO
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Credential |
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Telephone | 559-788-9638
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 320600000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Residential Treatment Facility
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License Number | 120000637
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 315P00000X
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Taxonomy Name | Intellectual Disabilities Intermediate Care Facility
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License Number |
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License Number State |
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