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General NPI Number Information
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NPI Number | 1407761570
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Entity Type | Organization
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Legal Business Name | VILLAGE AT MILL CREEK
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Dates
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Enumeration Date | 08/14/2026
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Last Update Date | 08/14/2026
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Provider Practice Location Address
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Address Line | 2950 E DOUGLAS AVE
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City | VISALIA
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State | CA
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Zip | 93292-4008
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Country | US
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Telephone | 559-625-6001
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Fax |
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Provider Business Mailing Address
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Address Line | 2950 E DOUGLAS AVE
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City | VISALIA
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State | CA
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Zip | 93292-4008
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Country | US
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Telephone | 559-625-6001
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JERRY SANADA
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Credential |
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Telephone | 805-300-5383
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3104A0630X
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Taxonomy Name | Assisted Living Facility (Behavioral Disturbances)
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License Number |
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License Number State |
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