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General NPI Number Information
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NPI Number | 1629924766
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Entity Type | Organization
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Legal Business Name | JIREH SENIOR HOME CORPORATION
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Dates
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Enumeration Date | 03/10/2026
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Last Update Date | 03/10/2026
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Provider Practice Location Address
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Address Line | 2102 CALLE MIRASOL
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City | SANTA MARIA
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State | CA
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Zip | 93458-8303
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Country | US
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Telephone | 805-346-1519
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Fax |
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Provider Business Mailing Address
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Address Line | 2102 CALLE MIRASOL
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City | SANTA MARIA
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State | CA
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Zip | 93458-8303
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Country | US
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Telephone | 805-346-1519
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Fax |
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Authorized Official
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Title or Position | LICENSEE
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Name | PATRICIA MONTANO
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Credential | MONTANO
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Telephone | 803-863-1926
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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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