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1831671775 NPI number — DE LAS MERCEDES ALF CORP

NPI Number: 1831671775
Health Care Provider/Practitioner: DE LAS MERCEDES ALF CORP

Information about “1831671775” NPI (DE LAS MERCEDES ALF CORP) exists in 1831671775 in HTML format HTML  |  1831671775 in plain Text format TXT  |  1831671775 in PDF (Portable Document Format) PDF  |  1831671775 in an XML format XML  formats.

NPI Number : 1831671775 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1831671775",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "DE LAS MERCEDES ALF CORP",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "7012 N ORLEANS AVE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "TAMPA",
    "MailingAddressStateName": "FL",
    "MailingAddressPostalCode": "33604-4734",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "813-785-2894",
    "MailingAddressFaxNumber": "813-930-0545",
    "FirstLinePracticeLocationAddress": "7012 N ORLEANS AVE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "TAMPA",
    "PracticeLocationAddressStateName": "FL",
    "PracticeLocationAddressPostalCode": "33604-4734",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "813-785-2894",
    "PracticeLocationAddressFaxNumber": "813-930-0545",
    "EnumerationDate": "09/06/2018",
    "LastUpdateDate": "09/06/2018",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "PENA",
    "AuthorizedOfficialFirstName": "DAILY",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "ADMINISTRATOR",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "813-785-2894",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "3104A0625X",
        "TaxonomyName": "Assisted Living Facility (Mental Illness)",
        "LicenseNumber": "12623",
        "LicenseNumberStateCode": "FL",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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