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General NPI Number Information
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NPI Number | 1366828766
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Entity Type | Organization
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Legal Business Name | TWILIGHT HOMES, INC.
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Dates
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Enumeration Date | 08/07/2015
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Last Update Date | 08/07/2015
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Provider Practice Location Address
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Address Line | 1463 W SIERRA AVE
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City | FRESNO
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State | CA
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Zip | 93711-1906
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Country | US
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Telephone | 559-439-5760
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Fax | 559-275-3046
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Provider Business Mailing Address
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Address Line | 5539 N BRENT AVE
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City | FRESNO
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State | CA
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Zip | 93723-7658
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Country | US
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Telephone | 559-276-2696
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Fax | 559-275-3046
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Authorized Official
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Title or Position | PRESIDENT/LICENSEE
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Name | MRS. MARY JANE SUNGA ANDRES
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Credential | C.L.S.
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Telephone | 559-916-3658
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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 | 107206561
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number | 107206562
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License Number State | CA
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