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General NPI Number Information
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NPI Number | 1497078877
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Entity Type | Organization
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Legal Business Name | WINDSOR COURT ASSISTED LIVING, LLC
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Dates
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Enumeration Date | 03/12/2010
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Last Update Date | 03/12/2010
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Provider Practice Location Address
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Address Line | 201 SOUTH SUNRISE WAY
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City | PALM SPRINGS
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State | CA
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Zip | 92262-6738
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Country | US
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Telephone | 760-327-8351
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Fax | 760-327-8259
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Provider Business Mailing Address
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Address Line | 201 SOUTH SUNRISE WAY
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City | PALM SPRINGS
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State | CA
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Zip | 92262-6738
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Country | US
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Telephone | 760-327-8351
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Fax | 760-327-8259
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MRS. JEANNE L. RELLER-BROWNSTEIN
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Credential | R.N.
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Telephone | 760-327-8351
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 315D00000X
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Taxonomy Name | Inpatient Hospice
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License Number | 336403366
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 385H00000X
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Taxonomy Name | Respite Care
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License Number | 336403366
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number | 336403366
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License Number State | CA
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