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General NPI Number Information
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NPI Number | 1366266454
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Entity Type | Organization
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Legal Business Name | SAYBROOK ASSISTED LIVING LLC
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Dates
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Enumeration Date | 11/14/2024
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Last Update Date | 11/14/2024
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Provider Practice Location Address
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Address Line | 43171 COUNTY LINE RD
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City | COLUMBIANA
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State | OH
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Zip | 44408-9394
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Country | US
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Telephone | 330-892-3200
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Fax | 330-892-3299
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Provider Business Mailing Address
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Address Line | 1419 BOARDMAN-CANFIELD ROAD SUITE 500
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City | BOARDMAN
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State | OH
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Zip | 44512-8071
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Country | US
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Telephone | 330-726-5790
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Fax | 330-726-5792
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Authorized Official
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Title or Position | CFO
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Name | ROBERT W RUPEKA
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Credential |
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Telephone | 330-726-5790
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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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