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General NPI Number Information
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NPI Number | 1720498710
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Entity Type | Organization
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Legal Business Name | LA CASA ADULT DAY HEALTH CENTER, INC.
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Dates
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Enumeration Date | 04/30/2014
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Last Update Date | 04/30/2014
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Provider Practice Location Address
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Address Line | 909 BLANCO CIRCLE STE B
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City | SALINAS
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State | CA
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Zip | 93901
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Country | US
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Telephone | 831-222-6122
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Fax | 831-222-6127
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Provider Business Mailing Address
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Address Line | 909 BLANCO CIRCLE B
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City | SALINAS
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State | CA
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Zip | 93901
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Country | US
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Telephone | 831-222-6122
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Fax | 831-222-6127
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Authorized Official
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Title or Position | CFO
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Name | MRS. MARY LOUISE HAGINS
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Credential |
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Telephone | 831-222-6122
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 311ZA0620X
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Taxonomy Name | Adult Care Home Facility
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License Number | 550001526
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License Number State | CA
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