{
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"EIN": null,
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"IsOrgSubpart": "N",
"ParentOrgLBN": null,
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"OrgName": "CARING HOUSE ASSISTED LIVING FACILITY LLC",
"LastName": null,
"FirstName": null,
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"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
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"FirstLineMailingAddress": "3090 RUSSELL RD",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "GREEN COVE SPRINGS",
"MailingAddressStateName": "FL",
"MailingAddressPostalCode": "32043-9495",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "904-531-9045",
"MailingAddressFaxNumber": "904-531-9045",
"FirstLinePracticeLocationAddress": "3090 RUSSELL RD",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "GREEN COVE SPRINGS",
"PracticeLocationAddressStateName": "FL",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "904-531-9045",
"PracticeLocationAddressFaxNumber": "904-531-9045",
"EnumerationDate": "09/02/2015",
"LastUpdateDate": "09/02/2015",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "CRAIG",
"AuthorizedOfficialFirstName": "SHERRY",
"AuthorizedOfficialMiddleName": "SMITH",
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"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "904-531-9045",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "310400000X",
"TaxonomyName": "Assisted Living Facility",
"LicenseNumber": "12453",
"LicenseNumberStateCode": "FL",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}