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General NPI Number Information
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NPI Number | 1457227183
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Entity Type | Organization
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Legal Business Name | WESTCO VILLA CARE HOME INC.
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Dates
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Enumeration Date | 10/10/2025
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Last Update Date | 10/10/2025
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Provider Practice Location Address
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Address Line | 1558 W 216TH ST
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City | TORRANCE
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State | CA
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Zip | 90501-3033
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Country | US
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Telephone | 424-731-7075
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Fax | 424-263-4026
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Provider Business Mailing Address
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Address Line | 25303 MONTEREY CIR
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City | LOMITA
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State | CA
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Zip | 90717
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Country | US
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Telephone | 310-418-7938
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Fax | 424-263-4026
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Authorized Official
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Title or Position | OWNER/ADMINISTRATOR
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Name | TERESITA CRUZ BAUTISTA
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Credential |
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Telephone | 310-418-7938
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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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