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General NPI Number Information
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NPI Number | 1700873957
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Entity Type | Organization
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Legal Business Name | ST. ANNE'S HOME
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Dates
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Enumeration Date | 10/03/2005
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 300 LAKE ST
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City | SAN FRANCISCO
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State | CA
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Zip | 94118-1357
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Country | US
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Telephone | 415-751-6510
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Fax | 415-751-1423
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Provider Business Mailing Address
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Address Line | 300 LAKE ST
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City | SAN FRANCISCO
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State | CA
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Zip | 94118-1357
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Country | US
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Telephone | 415-751-6510
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Fax | 415-751-1423
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | SISTER ANTHONY SELEWICZ
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Credential | NHA
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Telephone | 415-751-6510
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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 |
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License Number State | CA
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