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General NPI Number Information
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NPI Number | 1437217981
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Entity Type | Organization
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Legal Business Name | LOVING CARE ASSISTED LIVING INC
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Dates
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Enumeration Date | 12/05/2006
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Last Update Date | 07/17/2008
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Provider Practice Location Address
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Address Line | 544 COX MADDOX RD
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City | SANFORD
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State | NC
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Zip | 27330
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Country | US
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Telephone | 919-258-5600
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Fax | 919-258-5872
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Provider Business Mailing Address
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Address Line | PO BOX 4911
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City | SANFORD
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State | NC
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Zip | 27331
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Country | US
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Telephone | 919-258-3953
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Fax | 919-258-5872
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MRS. LILA LEE EVERETT
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Credential | BA DEGREE
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Telephone | 919-258-3953
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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 | HAL-053-018
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License Number State | NC
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