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General NPI Number Information
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NPI Number | 1366579641
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Entity Type | Organization
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Legal Business Name | JAN & GAIL'S CARE HOMES, INC.
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Dates
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Enumeration Date | 02/27/2007
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Last Update Date | 12/04/2023
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Provider Practice Location Address
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Address Line | 3250 W LOYOLA AVE
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City | VISALIA
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State | CA
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Zip | 93277-5021
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Country | US
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Telephone | 559-732-0796
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Fax | 559-688-3611
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Provider Business Mailing Address
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Address Line | 2115 REAGAN ST
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City | TULARE
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State | CA
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Zip | 93274-8327
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Country | US
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Telephone | 559-788-9638
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Fax | 559-688-3611
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MS. GAIL SOLORIO
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Credential | RN
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Telephone | 559-788-9638
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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 | 120000645
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 315P00000X
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Taxonomy Name | Intellectual Disabilities Intermediate Care Facility
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License Number |
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License Number State |
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