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General NPI Number Information
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NPI Number | 1386965424
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Entity Type | Organization
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Legal Business Name | SENIOR FOCUS RESIDENTIAL CARE
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Dates
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Enumeration Date | 06/11/2010
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Last Update Date | 06/11/2010
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Provider Practice Location Address
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Address Line | 871 VIA MINDI
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City | RIVERSIDE
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State | CA
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Zip | 92506-3642
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Country | US
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Telephone | 951-684-2511
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Fax | 951-784-3742
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Provider Business Mailing Address
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Address Line | 871 VIA MINDI
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City | RIVERSIDE
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State | CA
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Zip | 92506-3642
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Country | US
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Telephone | 951-684-2511
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Fax | 951-784-3742
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Authorized Official
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Title or Position | C.F.O./SEC. ADMINISTRATOR
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Name | MRS. MARGARET ELIZABETH LAMAR
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Credential | RN, BSN
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Telephone | 951-684-1400
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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 | CA
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