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General NPI Number Information
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NPI Number | 1265256762
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Entity Type | Organization
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Legal Business Name | AGING GRACEFULLY CARE HOMES LLC
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Dates
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Enumeration Date | 11/12/2024
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Last Update Date | 06/12/2025
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Provider Practice Location Address
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Address Line | 3218 MIRA MESA AVE
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City | OCEANSIDE
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State | CA
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Zip | 92056-4302
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Country | US
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Telephone | 760-206-3398
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Fax | 760-444-6464
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Provider Business Mailing Address
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Address Line | 1895 AVENIDA DEL ORO UNIT 6605
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City | OCEANSIDE
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State | CA
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Zip | 92052-0306
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Country | US
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Telephone | 760-207-6488
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Fax | 760-444-6464
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Authorized Official
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Title or Position | PRESIDENT
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Name | IRENE PALAD
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Credential |
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Telephone | 760-207-6488
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number |
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License Number State |
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