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General NPI Number Information
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NPI Number | 1245747930
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Entity Type | Organization
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Legal Business Name | LIFE'S ESSENCE ADULT DAY SERVICES, INC.
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Dates
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Enumeration Date | 01/04/2018
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Last Update Date | 06/16/2018
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Provider Practice Location Address
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Address Line | 1068 ARLINGTON RD N
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City | JACKSONVILLE
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State | FL
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Zip | 32211-5811
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Country | US
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Telephone | 904-503-2244
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Fax | 904-503-2284
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Provider Business Mailing Address
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Address Line | 1068 ARLINGTON RD N
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City | JACKSONVILLE
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State | FL
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Zip | 32211-5811
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Country | US
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Telephone | 904-503-2244
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Fax | 904-503-2284
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Authorized Official
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Title or Position | CENTER DIRECTOR
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Name | MRS. BERCLINE DORCELUS
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Credential | RN
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Telephone | 904-503-2244
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 385H00000X
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Taxonomy Name | Respite Care
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License Number | 9382
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 261QA0600X
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Taxonomy Name | Adult Day Care Clinic/Center
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License Number | 9382
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License Number State | FL
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