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General NPI Number Information
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NPI Number | 1780206250
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Entity Type | Organization
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Legal Business Name | EVERGREEN ASSISTED LIVING COMMUNITY LLC
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Dates
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Enumeration Date | 05/07/2020
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Last Update Date | 05/07/2020
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Provider Practice Location Address
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Address Line | 4222 MOOMAW AVE NW
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City | ROANOKE
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State | VA
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Zip | 24017-4314
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Country | US
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Telephone | 540-613-0757
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Fax | 540-491-9319
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Provider Business Mailing Address
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Address Line | 4222 MOOMAW AVE NW
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City | ROANOKE
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State | VA
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Zip | 24017-4314
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Country | US
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Telephone | 540-613-0757
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Fax | 540-491-9319
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Authorized Official
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Title or Position | OWNER/ PROGRAM DIRECTOR
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Name | PATIENCE OGWA ODUPELU
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Credential |
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Telephone | 540-613-0757
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 320900000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
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License Number |
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License Number State |
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