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General NPI Number Information
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NPI Number | 1124230388
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Entity Type | Organization
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Legal Business Name | FELICIAN ADULT DAY CARE
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Dates
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Enumeration Date | 05/03/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1333 ENFIELD ST
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City | ENFIELD
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State | CT
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Zip | 06082-4929
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Country | US
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Telephone | 860-745-4542
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Fax |
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Provider Business Mailing Address
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Address Line | 1333 ENFIELD ST
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City | ENFIELD
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State | CT
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Zip | 06082-4929
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Country | US
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Telephone | 860-745-4542
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | SISTER PATRICIA MARIE IAGROSSO
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Credential | LPN, BS
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Telephone | 860-745-2542
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA0600X
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Taxonomy Name | Adult Day Care Clinic/Center
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License Number |
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License Number State |
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