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General NPI Number Information
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NPI Number | 1396676854
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Entity Type | Organization
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Legal Business Name | XILUO RIVER HOLDINGS LLC
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Dates
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Enumeration Date | 05/26/2026
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Last Update Date | 05/26/2026
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Provider Practice Location Address
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Address Line | 6500 KIRBY GATE BLVD
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City | MEMPHIS
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State | TN
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Zip | 38119-2673
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Country | US
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Telephone | 901-752-0772
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Fax | 901-969-4991
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Provider Business Mailing Address
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Address Line | 6500 KIRBY GATE BLVD
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City | MEMPHIS
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State | TN
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Zip | 38119-2673
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Country | US
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Telephone | 901-752-0772
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Fax | 901-969-4991
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Authorized Official
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Title or Position | LLC MANAGER
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Name | WESTON HOLT
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Credential |
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Telephone | 858-798-5700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number |
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License Number State |
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