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General NPI Number Information
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NPI Number | 1801237250
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Entity Type | Organization
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Legal Business Name | HELEN HOMES CORP OF HOMESTEAD, INC
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Dates
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Enumeration Date | 07/15/2013
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Last Update Date | 07/15/2013
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Provider Practice Location Address
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Address Line | 1351 N KROME AVE
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City | HOMESTEAD
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State | FL
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Zip | 33030-4206
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Country | US
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Telephone | 305-247-0446
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Fax | 786-924-2348
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Provider Business Mailing Address
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Address Line | 1351 N KROME AVE
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City | HOMESTEAD
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State | FL
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Zip | 33030-4206
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Country | US
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Telephone | 305-247-0446
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Fax | 786-924-2348
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Authorized Official
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Title or Position | CFO
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Name | MR. OSCAR ROIZ
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Credential |
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Telephone | 305-270-7048
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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 | AL5819
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License Number State | FL
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