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General NPI Number Information
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NPI Number | 1285502104
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Entity Type | Organization
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Legal Business Name | ADVENT SENIOR CARE HOME LLC
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Dates
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Enumeration Date | 10/23/2025
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Last Update Date | 10/23/2025
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Provider Practice Location Address
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Address Line | 1317 134TH ST S
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City | TACOMA
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State | WA
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Zip | 98444-2199
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Country | US
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Telephone | 253-433-7765
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Fax | 253-503-0123
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Provider Business Mailing Address
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Address Line | 1317 134TH ST S
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City | TACOMA
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State | WA
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Zip | 98444-2199
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Country | US
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Telephone | 253-433-7765
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Fax | 253-503-0123
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Authorized Official
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Title or Position | OWNER/PROVIDER
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Name | PAUL MBATI
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Credential |
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Telephone | 206-519-0824
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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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