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General NPI Number Information
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NPI Number | 1770002073
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Entity Type | Organization
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Legal Business Name | AMERICAN HOME CARE FACILITY, INC.
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Dates
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Enumeration Date | 09/18/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 6960 SW 155TH AVE
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City | MIAMI
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State | FL
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Zip | 33193-2122
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Country | US
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Telephone | 786-488-9226
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Fax | 305-456-6515
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Provider Business Mailing Address
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Address Line | 6960 SW 155TH AVE
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City | MIAMI
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State | FL
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Zip | 33193-2122
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Country | US
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Telephone | 786-488-9226
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Fax | 305-456-6515
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Authorized Official
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Title or Position | OWNER/ADMIN.
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Name | YULIER VIAMONTE
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Credential |
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Telephone | 786-488-9226
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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 | 13062
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License Number State | FL
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