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General NPI Number Information
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NPI Number | 1346499753
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Entity Type | Organization
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Legal Business Name | CASTLES CARE HOMES,INC
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Dates
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Enumeration Date | 09/10/2008
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Last Update Date | 12/23/2008
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Provider Practice Location Address
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Address Line | 1671 EL PASO DR
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City | NORCO
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State | CA
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Zip | 92860
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Country | US
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Telephone | 951-808-8698
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Fax | 951-808-4785
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Provider Business Mailing Address
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Address Line | PO BOX 1836
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City | CORONA
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State | CA
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Zip | 92878-1836
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Country | US
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Telephone | 951-808-8698
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Fax | 951-808-4785
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | MR. JOSUE VIGILANT
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Credential |
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Telephone | 951-808-8698
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 320600000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Residential Treatment Facility
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License Number |
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License Number State |
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