{
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"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "LOVING ANGELS ASSISTED LIVING FACILITIES,INC",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
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"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "9 RAMBLE WAY",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "PALM COAST",
"MailingAddressStateName": "FL",
"MailingAddressPostalCode": "32164-8800",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "386-627-1731",
"MailingAddressFaxNumber": "386-313-1138",
"FirstLinePracticeLocationAddress": "9 RAMBLE WAY",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "PALM COAST",
"PracticeLocationAddressStateName": "FL",
"PracticeLocationAddressPostalCode": "32164-8800",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "386-627-1731",
"PracticeLocationAddressFaxNumber": "386-313-1138",
"EnumerationDate": "10/18/2013",
"LastUpdateDate": "10/18/2013",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "VERDONE",
"AuthorizedOfficialFirstName": "DANIELA",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "PRESIDENT/ OWNER",
"AuthorizedOfficialNamePrefix": "MRS.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "386-263-2591",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "310400000X",
"TaxonomyName": "Assisted Living Facility",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}