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General NPI Number Information
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NPI Number | 1255467775
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Entity Type | Organization
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Legal Business Name | AMERICA'S LIVING CENTERS LLC
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Dates
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Enumeration Date | 02/26/2007
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Last Update Date | 07/01/2008
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Provider Practice Location Address
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Address Line | 6480 HUDLOW RD
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City | UNION MILLS
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State | NC
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Zip | 28167-9551
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Country | US
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Telephone | 828-286-3702
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Fax |
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Provider Business Mailing Address
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Address Line | P O BOX 155
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City | UNION MILLS
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State | NC
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Zip | 28167-9551
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Country | US
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Telephone | 828-286-3702
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | BETTY BRIDGES
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Credential |
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Telephone | 828-286-3702
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 311Z00000X
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Taxonomy Name | Custodial Care Facility
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License Number | FCL081033
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License Number State | NC
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