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General NPI Number Information
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NPI Number | 1285819466
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Entity Type | Organization
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Legal Business Name | HOME SUITE HOMES RESIDENTIAL & ASSISTED LIVING LLC
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Dates
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Enumeration Date | 01/07/2008
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Last Update Date | 01/07/2008
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Provider Practice Location Address
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Address Line | 10404 PATTERSON AVE SUITE 101
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City | RICHMOND
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State | VA
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Zip | 23238-5128
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Country | US
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Telephone | 804-741-3113
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 36509
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City | RICHMOND
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State | VA
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Zip | 23235-8010
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Country | US
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Telephone | 804-539-3107
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MRS. FRANCINE WARD
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Credential |
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Telephone | 804-741-3001
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number | S159012-6
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License Number State | VA
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