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General NPI Number Information
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NPI Number | 1184207623
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Entity Type | Organization
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Legal Business Name | SIMCARE HOMES LLC
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Dates
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Enumeration Date | 05/03/2021
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Last Update Date | 05/03/2021
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Provider Practice Location Address
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Address Line | 155 BRACEBRIDGE RD
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City | RIVERSIDE
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State | CA
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Zip | 92506-6115
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Country | US
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Telephone | 951-429-7142
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Fax | 909-899-6330
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Provider Business Mailing Address
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Address Line | 155 BRACEBRIDGE RD
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City | RIVERSIDE
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State | CA
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Zip | 92506-6115
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Country | US
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Telephone | 951-429-7142
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Fax | 909-899-6330
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Authorized Official
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Title or Position | OWNER / ADMINISTRATOR
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Name | MRS. PERLITA DE LA CRUZ SIMAN
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Credential | RESPIRATORY THERAPY
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Telephone | 909-731-0212
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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 |
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License Number State |
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