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1730632233 NPI number — JUST LIKE HOME

NPI Number: 1730632233
Health Care Provider/Practitioner: JUST LIKE HOME

Information about “1730632233” NPI (JUST LIKE HOME) exists in 1730632233 in HTML format HTML  |  1730632233 in plain Text format TXT  |  1730632233 in PDF (Portable Document Format) PDF  |  1730632233 in an XML format XML  formats.

NPI Number : 1730632233 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1730632233",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "JUST LIKE HOME",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "5844 WINDERMERE DR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "JACKSONVILLE",
    "MailingAddressStateName": "FL",
    "MailingAddressPostalCode": "32211-5313",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "904-743-7809",
    "MailingAddressFaxNumber": "904-503-7071",
    "FirstLinePracticeLocationAddress": "5844 WINDERMERE DR",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "JACKSONVILLE",
    "PracticeLocationAddressStateName": "FL",
    "PracticeLocationAddressPostalCode": "32211-5313",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "904-743-7809",
    "PracticeLocationAddressFaxNumber": "904-503-7071",
    "EnumerationDate": "08/01/2016",
    "LastUpdateDate": "08/01/2016",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "NDUKA",
    "AuthorizedOfficialFirstName": "NONYE",
    "AuthorizedOfficialMiddleName": "JOE",
    "AuthorizedOfficialTitle": "ADMINISTRATION",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "904-716-7106",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "310400000X",
        "TaxonomyName": "Assisted Living Facility",
        "LicenseNumber": "AL11856",
        "LicenseNumberStateCode": "FL",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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