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NPI 1831660240

NPI 1831660240 : THE RHEMA HOUSE ASSISTED LIVING FACILITY,INC : PENSACOLA, FL

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General NPI Number Information
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    NPI Number           |    1831660240
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    Entity Type          |    Organization 
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    Legal Business Name  |    THE RHEMA HOUSE ASSISTED LIVING FACILITY,INC 
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Dates
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    Enumeration Date     |    12/10/2018
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    Last Update Date     |    10/29/2021
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Provider Practice Location Address
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    Address Line         |    2910 MICHAEL DR 
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    City                 |    PENSACOLA
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    State                |    FL
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    Zip                  |    32505-3999
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    Country              |    US
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    Telephone            |    850-602-5725
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    Fax                  |    850-434-3363
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Provider Business Mailing Address
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    Address Line         |    2910 MICHAEL DR 
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    City                 |    PENSACOLA
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    State                |    FL
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    Zip                  |    32505-3999
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    Country              |    US
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    Telephone            |    850-602-5725
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    Fax                  |    850-285-0258
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Authorized Official
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    Title or Position    |    RN
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    Name                 |    MRS. CAROLYN A MARTIN 
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    Credential           |    RN
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    Telephone            |    850-602-5725
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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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