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General NPI Number Information
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NPI Number | 1760174817
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Entity Type | Organization
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Legal Business Name | THE ANGEL'S TOUCH ASSISTING LIVING LLC
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Dates
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Enumeration Date | 05/25/2023
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Last Update Date | 05/25/2023
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Provider Practice Location Address
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Address Line | 2890 NW 13TH ST
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City | FORT LAUDERDALE
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State | FL
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Zip | 33311-5230
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Country | US
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Telephone | 843-360-7369
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Fax |
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Provider Business Mailing Address
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Address Line | 709 67TH AVE N APT G
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City | MYRTLE BEACH
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State | SC
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Zip | 29572-3734
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Country | US
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Telephone | 843-360-7369
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Fax |
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Authorized Official
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Title or Position | CAREGIVER
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Name | DACIA NATASHA FRANCIS
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Credential | ADMINSTRATOR
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Telephone | 843-360-7369
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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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