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General NPI Number Information
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NPI Number | 1447176490
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Entity Type | Organization
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Legal Business Name | A SUITELIFE FOR ELDERS INC
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Dates
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Enumeration Date | 06/24/2026
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Last Update Date | 06/24/2026
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Provider Practice Location Address
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Address Line | 2069 GILL PORT LN
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City | WALNUT CREEK
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State | CA
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Zip | 94598-1151
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Country | US
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Telephone | 925-895-4507
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Fax | 925-943-3004
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Provider Business Mailing Address
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Address Line | 2069 GILL PORT LN
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City | WALNUT CREEK
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State | CA
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Zip | 94598-1151
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Country | US
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Telephone | 925-895-4507
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Fax | 925-943-3004
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Authorized Official
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Title or Position | CEO
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Name | MS. ROGUE MARYDITH CASTRO
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Credential |
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Telephone | 925-895-4507
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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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