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General NPI Number Information
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NPI Number | 1497675268
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Entity Type | Organization
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Legal Business Name | ROSE GUEST HOME
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Dates
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Enumeration Date | 07/20/2026
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Last Update Date | 07/20/2026
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Provider Practice Location Address
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Address Line | 1820 BETHANY AVE
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City | SAN JOSE
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State | CA
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Zip | 95132-1514
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Country | US
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Telephone | 650-892-3936
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Fax | 408-649-6532
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Provider Business Mailing Address
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Address Line | 1820 BETHANY AVE
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City | SAN JOSE
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State | CA
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Zip | 95132-1514
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Country | US
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Telephone | 650-892-3936
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Fax | 408-649-6532
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | LILIAN CANLAS SACUN
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Credential | LICENSEE
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Telephone | 650-892-3936
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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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