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General NPI Number Information
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NPI Number | 1811715311
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Entity Type | Organization
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Legal Business Name | L&S ASSISTED LIVING, LLC
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Dates
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Enumeration Date | 10/02/2024
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Last Update Date | 10/02/2024
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Provider Practice Location Address
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Address Line | 7903 TIN CUP DR
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City | ARLINGTON
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State | TX
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Zip | 76001-6105
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Country | US
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Telephone | 817-477-5775
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Fax |
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Provider Business Mailing Address
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Address Line | 7903 TIN CUP DR
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City | ARLINGTON
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State | TX
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Zip | 76001-6105
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | LILLIAN IBRAHIM
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Credential |
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Telephone | 817-714-2263
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 385H00000X
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Taxonomy Name | Respite Care
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License Number |
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License Number State |
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Taxonomy #2
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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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