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General NPI Number Information
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NPI Number | 1316884356
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Entity Type | Organization
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Legal Business Name | N'ROUTE WELLNESS HOME
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Dates
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Enumeration Date | 04/29/2026
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Last Update Date | 04/29/2026
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Provider Practice Location Address
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Address Line | 10515 S BURL AVE 3/4
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City | INGLEWOOD
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State | CA
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Zip | 90304
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Country | US
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Telephone | 424-744-0656
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 4744
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City | INGLEWOOD
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State | CA
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Zip | 90309-4744
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Country | US
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Telephone | 424-744-0656
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MS. FRANCINE JACKSON
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Credential | MBA
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Telephone | 424-744-0656
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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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 | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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