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NPI 1730883109

NPI 1730883109 : ALL THINGS ARE POSSIBLE SUPPORTIVE LIVING LLC : LEHIGH ACRES, FL

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General NPI Number Information
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    NPI Number           |    1730883109
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    Entity Type          |    Organization 
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    Legal Business Name  |    ALL THINGS ARE POSSIBLE SUPPORTIVE LIVING LLC 
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Dates
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    Enumeration Date     |    03/29/2023
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    Last Update Date     |    03/29/2023
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Provider Practice Location Address
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    Address Line         |    1816 LOCKHAVEN CT 
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    City                 |    LEHIGH ACRES
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    State                |    FL
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    Zip                  |    33972
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    Country              |    US
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    Telephone            |    239-703-2064
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    P.O. BOX 217 
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    City                 |    LEHIGH ACRES
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    State                |    FL
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    Zip                  |    33970
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    Country              |    US
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    Telephone            |    239-955-3758
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    Fax                  |    
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Authorized Official
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    Title or Position    |    DIRECTOR MANAGER
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    Name                 |    MRS. LINDADRELL  GAYLE 
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    Credential           |    RCSWL
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    Telephone            |    239-703-2064
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    3747A0650X
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    Taxonomy Name        |    Attendant Care Provider
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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        |    1041C0700X
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    Taxonomy Name        |    Clinical Social Worker
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    License Number       |    
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    License Number State |    
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