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General NPI Number Information
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NPI Number | 1215001763
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Entity Type | Organization
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Legal Business Name | PORTERVILLE CONVALESCENT, INC.
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Dates
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Enumeration Date | 11/17/2006
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Last Update Date | 12/19/2025
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Provider Practice Location Address
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Address Line | 1100 W MORTON AVE
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City | PORTERVILLE
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State | CA
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Zip | 93257-1947
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Country | US
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Telephone | 559-782-1509
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Fax |
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Provider Business Mailing Address
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Address Line | 1100 W MORTON AVE
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City | PORTERVILLE
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State | CA
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Zip | 93257-1947
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CFO
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Name | JAMES HIGBEE
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Credential |
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Telephone | 559-688-0288
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number | 120000621
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License Number State | CA
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