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General NPI Number Information
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NPI Number | 1649035528
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Entity Type | Organization
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Legal Business Name | DESERT CARE HOMES
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Dates
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Enumeration Date | 02/19/2024
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Last Update Date | 02/19/2024
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Provider Practice Location Address
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Address Line | 7225 SOUTHERN MAGNOLIA ST
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City | LAS VEGAS
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State | NV
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Zip | 89149-1967
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Country | US
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Telephone | 309-287-6041
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Fax |
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Provider Business Mailing Address
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Address Line | 7225 SOUTHERN MAGNOLIA ST
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City | LAS VEGAS
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State | NV
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Zip | 89149-1967
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Country | US
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Telephone | 309-287-6041
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Fax |
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Authorized Official
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Title or Position | CO OWNER
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Name | MELISSA COOPER
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Credential |
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Telephone | 309-287-6041
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174200000X
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Taxonomy Name | Meals Provider
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 177F00000X
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Taxonomy Name | Lodging Provider
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 311500000X
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Taxonomy Name | Alzheimer Center (Dementia Center)
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 320800000X
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Taxonomy Name | Mental Illness Community Based Residential Treatment Facility
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 385H00000X
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Taxonomy Name | Respite Care
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 320700000X
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Taxonomy Name | Physical Disabilities Residential Treatment Facility
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License Number |
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License Number State |
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