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General NPI Number Information
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NPI Number | 1144438342
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Entity Type | Organization
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Legal Business Name | IVE HOME II ALF, INC.
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Dates
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Enumeration Date | 05/19/2007
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Last Update Date | 04/17/2018
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Provider Practice Location Address
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Address Line | 22636 SW 125TH AVE
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City | MIAMI
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State | FL
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Zip | 33170-6318
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Country | US
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Telephone | 305-258-9035
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Fax | 305-278-8080
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Provider Business Mailing Address
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Address Line | 22636 SW 125TH AVE
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City | MIAMI
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State | FL
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Zip | 33170-6318
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Country | US
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Telephone | 305-258-9035
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Fax | 305-278-8080
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. ISELA L LOCHE
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Credential |
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Telephone | 305-804-3183
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number | AL 10826
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number | 10826
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License Number State | FL
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