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General NPI Number Information
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NPI Number | 1649578881
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Entity Type | Organization
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Legal Business Name | ASSISTED LIVING MINISTRY SERVICES
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Dates
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Enumeration Date | 03/12/2011
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Last Update Date | 03/12/2011
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Provider Practice Location Address
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Address Line | 650 SAINT CLAIR AVE
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City | EAST LIVERPOOL
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State | OH
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Zip | 43920-3053
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Country | US
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Telephone | 330-385-0700
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Fax |
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Provider Business Mailing Address
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Address Line | 650 SAINT CLAIR AVE
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City | EAST LIVERPOOL
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State | OH
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Zip | 43920-3053
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Country | US
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Telephone | 330-385-0700
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | BRENDA HAUGHT
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Credential |
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Telephone | 330-206-0700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number | 2570R
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License Number State | OH
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Taxonomy #2
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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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