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General NPI Number Information
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NPI Number | 1346188752
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Entity Type | Organization
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Legal Business Name | ZION 1 ASSISTED LIVING FACILITY LLC
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Dates
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Enumeration Date | 03/24/2026
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Last Update Date | 03/24/2026
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Provider Practice Location Address
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Address Line | 304 13TH ST NE
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City | RUSKIN
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State | FL
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Zip | 33570-4920
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Country | US
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Telephone | 813-850-4908
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Fax | 813-435-9422
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Provider Business Mailing Address
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Address Line | 304 13TH ST NE
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City | RUSKIN
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State | FL
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Zip | 33570-4920
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Country | US
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Telephone | 813-850-4908
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Fax | 813-435-9422
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Authorized Official
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Title or Position | OWNER
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Name | JACKY JEAN-PIERRE
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Credential |
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Telephone | 813-403-1839
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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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