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General NPI Number Information
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NPI Number | 1801751789
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Entity Type | Organization
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Legal Business Name | FULL LIFE HOME CARE LLC
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Dates
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Enumeration Date | 12/22/2025
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Last Update Date | 12/22/2025
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Provider Practice Location Address
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Address Line | 5700 MEMORIAL HWY STE 212-D
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City | TAMPA
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State | FL
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Zip | 33615-5250
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Country | US
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Telephone | 813-280-2932
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Fax | 813-436-5688
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Provider Business Mailing Address
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Address Line | 5700 MEMORIAL HWY STE 212-D
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City | TAMPA
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State | FL
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Zip | 33615-5250
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Country | US
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Telephone | 813-280-2932
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Fax | 813-436-5688
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Authorized Official
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Title or Position | OWNER
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Name | DAINELYS SANCHO
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Credential |
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Telephone | 813-802-5275
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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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