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General NPI Number Information
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NPI Number | 1437737764
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Entity Type | Organization
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Legal Business Name | BESTCARE SENIOR HOME INC.
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Dates
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Enumeration Date | 03/30/2021
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Last Update Date | 03/30/2021
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Provider Practice Location Address
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Address Line | 2775 CRUSE RD STE 1501
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City | LAWRENCEVILLE
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State | GA
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Zip | 30044-7145
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Country | US
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Telephone | 770-717-8588
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Fax | 770-717-2388
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Provider Business Mailing Address
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Address Line | 1392 SEVER CREEK DR
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City | LAWRENCEVILLE
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State | GA
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Zip | 30043-5188
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Country | US
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Telephone | 770-363-5480
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Fax |
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Authorized Official
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Title or Position | ADM
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Name | MRS. YANMING PEI
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Credential | RN
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Telephone | 770-363-5480
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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 |
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