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General NPI Number Information
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NPI Number | 1669195541
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Entity Type | Organization
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Legal Business Name | UNBREAKABLE COMMITMENTS HOME AND HEALTH II LLC
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Dates
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Enumeration Date | 09/26/2022
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Last Update Date | 09/26/2022
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Provider Practice Location Address
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Address Line | 5284 N 82ND CT
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City | MILWAUKEE
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State | WI
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Zip | 53218-3521
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Country | US
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Telephone | 414-439-5346
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Fax |
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Provider Business Mailing Address
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Address Line | 5801 WASHINGTON AVE STE 99
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City | MOUNT PLEASANT
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State | WI
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Zip | 53406-4010
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Country | US
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Telephone | 414-210-2119
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | DOMINIQUE LINDSEY
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Credential |
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Telephone | 414-439-5346
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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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