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General NPI Number Information
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NPI Number | 1780579383
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Entity Type | Organization
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Legal Business Name | DARLENES L. H. RESIDENTIAL CARE INC
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Dates
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Enumeration Date | 06/12/2025
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Last Update Date | 06/12/2025
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Provider Practice Location Address
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Address Line | 10950 PEMBERTON WAY
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City | ADELANTO
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State | CA
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Zip | 92301-4001
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Country | US
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Telephone | 442-405-5164
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Fax |
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Provider Business Mailing Address
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Address Line | 10950 PEMBERTON WAY
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City | ADELANTO
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State | CA
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Zip | 92301-4001
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Country | US
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Telephone | 442-405-5164
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR /OWNER
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Name | DARLENE ELAINE BENARD
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Credential | RESIDENTIAL CARE ELD
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Telephone | 442-405-5164
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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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