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General NPI Number Information
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NPI Number | 1801476155
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Entity Type | Organization
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Legal Business Name | ABUELOS HOME, INC.
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Dates
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Enumeration Date | 04/12/2021
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Last Update Date | 04/12/2021
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Provider Practice Location Address
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Address Line | 13221 SW 251ST LN
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City | HOMESTEAD
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State | FL
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Zip | 33032-2539
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Country | US
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Telephone | 786-404-3145
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Fax | 786-404-3145
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Provider Business Mailing Address
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Address Line | 13221 SW 251ST LN
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City | HOMESTEAD
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State | FL
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Zip | 33032-2539
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Country | US
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Telephone | 786-404-3145
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Fax | 786-404-3145
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Authorized Official
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Title or Position | OWNER
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Name | OLGA N ALCANTARA
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Credential |
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Telephone | 786-487-6584
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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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