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General NPI Number Information
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NPI Number | 1316076953
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Entity Type | Organization
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Legal Business Name | COMMUNITYS HEARTH & HOME ASSISTED LIVING
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Dates
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Enumeration Date | 03/02/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1579 ST RT 29
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City | URBANA
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State | OH
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Zip | 43078
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Country | US
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Telephone | 937-653-5163
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Fax | 937-653-5193
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Provider Business Mailing Address
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Address Line | 1579 ST RT 29 COMMUNITYS HEARTH & HOME ASSISTED LIVING
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City | URBANA
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State | OH
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Zip | 43078
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Country | US
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Telephone | 937-653-5163
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Fax | 937-653-5193
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Authorized Official
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Title or Position | ADCARE HEALTH SYSTEM VICE PRESIDENT
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Name | KIMBERLE ANN HENRY
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Credential |
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Telephone | 937-964-8974
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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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