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General NPI Number Information
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NPI Number | 1346844743
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Entity Type | Organization
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Legal Business Name | PRECIOUS & DESTINY SENIOR LIVING INC.
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Dates
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Enumeration Date | 11/25/2020
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Last Update Date | 11/25/2020
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Provider Practice Location Address
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Address Line | 782 SW 54TH AVE
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City | MARGATE
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State | FL
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Zip | 33068-3050
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Country | US
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Telephone | 754-235-7853
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Fax |
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Provider Business Mailing Address
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Address Line | 782 SW 54TH AVE
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City | MARGATE
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State | FL
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Zip | 33068-3050
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Country | US
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Telephone | 754-235-7853
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Fax | 954-597-6436
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MRS. ERMITH SAINTILUS
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Credential |
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Telephone | 754-235-7853
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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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