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General NPI Number Information
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NPI Number | 1366605479
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Entity Type | Organization
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Legal Business Name | LILITA HOME II INC.
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Dates
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Enumeration Date | 07/08/2008
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Last Update Date | 04/01/2021
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Provider Practice Location Address
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Address Line | 2451 SW 103 WAY
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City | MIRAMAR
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State | FL
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Zip | 33025-3984
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Country | US
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Telephone | 954-431-4432
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Fax | 954-431-4432
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Provider Business Mailing Address
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Address Line | 2451 SW 103 WAY
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City | MIRAMAR
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State | FL
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Zip | 33025-3984
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Country | US
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Telephone | 954-431-4432
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Fax | 954-431-4432
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Authorized Official
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Title or Position | PRESIDENT
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Name | CARIDAD BARRIAL
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Credential |
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Telephone | 305-962-6293
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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 | AL 10419
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License Number State |
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