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General NPI Number Information
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NPI Number | 1285860130
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Entity Type | Organization
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Legal Business Name | FRIENDS AND FAMILY HOME, INC.
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Dates
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Enumeration Date | 06/05/2009
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Last Update Date | 06/05/2009
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Provider Practice Location Address
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Address Line | 225 ALMADEN WAY
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City | SAN MATEO
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State | CA
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Zip | 94403-2926
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Country | US
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Telephone | 650-574-2336
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Fax |
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Provider Business Mailing Address
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Address Line | 225 ALMADEN WAY
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City | SAN MATEO
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State | CA
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Zip | 94403-2926
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Country | US
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Telephone | 650-574-2336
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MRS. JOY LINA C. DIEGO
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Credential |
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Telephone | 650-504-8381
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 313M00000X
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Taxonomy Name | Nursing Facility/Intermediate Care Facility
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License Number | 550000747
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License Number State | CA
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