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General NPI Number Information
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NPI Number | 1255218491
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Entity Type | Organization
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Legal Business Name | IMANI & CO. LIVING LLC
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Dates
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Enumeration Date | 08/19/2025
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Last Update Date | 08/19/2025
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Provider Practice Location Address
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Address Line | 2206 DALLAS ST
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City | DURHAM
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State | NC
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Zip | 27707-3013
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Country | US
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Telephone | 888-944-6264
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Fax |
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Provider Business Mailing Address
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Address Line | 4801 GLENWOOD AVE STE 200
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City | RALEIGH
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State | NC
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Zip | 27612-3857
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Country | US
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Telephone | 888-944-6264
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Fax |
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Authorized Official
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Title or Position | CHEIF EXECUTIVE OFFICER
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Name | SHANELLE JILUS
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Credential | RN
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Telephone | 888-944-6264
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 311ZA0620X
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Taxonomy Name | Adult Care Home Facility
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License Number |
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License Number State |
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