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General NPI Number Information
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NPI Number | 1477603363
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Entity Type | Organization
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Legal Business Name | LA LOMA SENIOR LIVING SERVICES, INC.
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Dates
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Enumeration Date | 01/11/2007
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Last Update Date | 05/07/2025
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Provider Practice Location Address
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Address Line | 14260 DENNY BLVD
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City | LITCHFIELD PARK
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State | AZ
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Zip | 85340-9448
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Country | US
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Telephone | 623-537-7400
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Fax | 623-537-7480
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Provider Business Mailing Address
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Address Line | 14719 W GRAND AVE
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City | SURPRISE
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State | AZ
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Zip | 85374-7203
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Country | US
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Telephone | 623-777-2631
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Fax | 623-777-2626
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Authorized Official
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Title or Position | CHIEF EXPERIENCE OFFICER
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Name | KIMBERLEY JANE THOMPSON
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Credential |
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Telephone | 313-530-7340
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number | NCI-2654
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License Number State | AZ
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