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NPI 1447028691

NPI 1447028691 : SUNFLOWER GARDENS ASSISTED LIVING LLC : NOGALES, AZ

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General NPI Number Information
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    NPI Number           |    1447028691
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    Entity Type          |    Organization 
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    Legal Business Name  |    SUNFLOWER GARDENS ASSISTED LIVING LLC 
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Dates
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    Enumeration Date     |    12/18/2023
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    Last Update Date     |    12/18/2023
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Provider Practice Location Address
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    Address Line         |    1101 W CIMARRON ST 
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    City                 |    NOGALES
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    State                |    AZ
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    Zip                  |    85621-1709
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    Country              |    US
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    Telephone            |    520-287-6535
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    Fax                  |    800-420-7718
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Provider Business Mailing Address
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    Address Line         |    1101 W CIMARRON ST 
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    City                 |    NOGALES
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    State                |    AZ
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    Zip                  |    85621-1709
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    Country              |    US
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    Telephone            |    520-287-6535
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    Fax                  |    800-420-7718
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Authorized Official
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    Title or Position    |    OWNER/MANAGER
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    Name                 |     ESTHER  MACIAS 
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    Credential           |    
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    Telephone            |    520-444-4566
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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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