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General NPI Number Information
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NPI Number | 1770689887
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Entity Type | Organization
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Legal Business Name | CARPENTERS HOME ESTATES INC
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Dates
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Enumeration Date | 09/15/2006
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Last Update Date | 11/18/2024
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Provider Practice Location Address
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Address Line | 1001 CARPENTERS WAY
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City | LAKELAND
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State | FL
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Zip | 33809-3956
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Country | US
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Telephone | 863-858-3847
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Fax | 863-859-7425
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Provider Business Mailing Address
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Address Line | 1001 CARPENTERS WAY
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City | LAKELAND
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State | FL
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Zip | 33809-3956
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Country | US
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Telephone | 863-858-3847
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Fax | 863-859-7425
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Authorized Official
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Title or Position | CEO
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Name | MR. BRIAN L ROBARE
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Credential |
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Telephone | 863-858-3847
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number | SNF1075096
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License Number State | FL
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