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General NPI Number Information
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NPI Number | 1124567714
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Entity Type | Organization
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Legal Business Name | SWEET HOME ADULT DAY CARE, LLC.
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Dates
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Enumeration Date | 02/16/2017
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Last Update Date | 07/29/2024
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Provider Practice Location Address
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Address Line | 201 PLAZA DRIVE SUITE #102
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City | LEHIGH ACRES
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State | FL
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Zip | 33936
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Country | US
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Telephone | 786-251-1632
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Fax | 239-491-9359
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Provider Business Mailing Address
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Address Line | 201 PLAZA DRIVE SUITE #102
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City | LEHIGH ACRES
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State | FL
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Zip | 33936
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Country | US
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Telephone | 786-251-1632
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Fax | 239-491-9359
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Authorized Official
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Title or Position | OWNER
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Name | NANCY ASCANIO
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Credential |
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Telephone | 786-251-1632
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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 | 9358
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License Number State | FL
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