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General NPI Number Information
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NPI Number | 1841320330
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Entity Type | Organization
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Legal Business Name | HOPE REST HOME, INC.
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Dates
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Enumeration Date | 03/06/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2967 DUNN RD
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City | FAYETTEVILLE
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State | NC
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Zip | 28312-8883
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Country | US
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Telephone | 910-483-7908
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1574
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City | FOREST CITY
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State | NC
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Zip | 28043-1574
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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 | ADMINISTRATOR
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Name | SEUNG KWAN CHAI I
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Credential |
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Telephone | 828-286-4749
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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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