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General NPI Number Information
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NPI Number | 1508106642
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Entity Type | Organization
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Legal Business Name | CARE 4 U GROUP HOMES, LLC #2
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Dates
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Enumeration Date | 02/27/2013
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Last Update Date | 02/27/2013
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Provider Practice Location Address
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Address Line | 12706 W BOCA RATON
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City | EL MIRAGE
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State | AZ
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Zip | 85335
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Country | US
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Telephone | 623-374-3581
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Fax | 623-374-3581
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Provider Business Mailing Address
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Address Line | 12706 W BOCA RATON RD
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City | EL MIRAGE
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State | AZ
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Zip | 85335-4902
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Country | US
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Telephone | 623-374-3581
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Fax | 623-374-3581
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Authorized Official
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Title or Position | 0WNER/PRESIDENT
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Name | MS. CHRISTINE ELIZABETH GEARHEART
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Credential | CNA, MANAGER
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Telephone | 623-374-3581
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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 | AL8972H
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License Number State | AZ
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