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General NPI Number Information
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NPI Number | 1770669327
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Entity Type | Organization
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Legal Business Name | ROSE-LUANN HOMES, INC.
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Dates
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Enumeration Date | 10/27/2006
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Last Update Date | 09/25/2008
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Provider Practice Location Address
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Address Line | 17231 REGULUS DR.
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City | YORBA LINDA
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State | CA
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Zip | 92886
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Country | US
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Telephone | 714-528-6187
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Fax | 714-996-9211
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Provider Business Mailing Address
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Address Line | 17231 REGULUS DR.
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City | YORBA LINDA
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State | CA
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Zip | 92886
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Country | US
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Telephone | 714-528-6187
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Fax | 714-996-9211
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. ROSALINDA C. ULIT
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Credential |
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Telephone | 714-496-9990
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 320600000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Residential Treatment Facility
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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 | 313M00000X
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Taxonomy Name | Nursing Facility/Intermediate Care Facility
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License Number | 060000806
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License Number State | CA
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