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NPI 1659281137

NPI 1659281137 : SANCTUARY AND SOIL: ADULT, FAMILY CARE AND HOUSING ORGANIZATION : INGLEWOOD, CA

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General NPI Number Information
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    NPI Number           |    1659281137
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    Entity Type          |    Organization 
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    Legal Business Name  |    SANCTUARY AND SOIL: ADULT, FAMILY CARE AND HOUSING ORGANIZATION 
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Dates
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    Enumeration Date     |    09/09/2026
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    Last Update Date     |    09/09/2026
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Provider Practice Location Address
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    Address Line         |    2808 W 85TH ST 
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    City                 |    INGLEWOOD
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    State                |    CA
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    Zip                  |    90305-1824
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    Country              |    US
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    Telephone            |    424-655-8547
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    Fax                  |    424-702-4295
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Provider Business Mailing Address
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    Address Line         |    4607 DON ZAREMBO DR 
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    City                 |    LOS ANGELES
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    State                |    CA
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    Zip                  |    90008-4122
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    Country              |    US
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    Telephone            |    424-655-8547
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    Fax                  |    424-702-4295
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Authorized Official
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    Title or Position    |    CEO/FOUNDER
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    Name                 |    MRS. CAROLINE LISA STONE-WINSTON 
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    Credential           |    
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    Telephone            |    424-655-8547
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    172V00000X
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    Taxonomy Name        |    Community Health Worker
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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        |    261QA0600X
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    Taxonomy Name        |    Adult Day Care Clinic/Center
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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        |    311ZA0620X
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    Taxonomy Name        |    Adult Care Home Facility
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    License Number       |    
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    License Number State |    
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