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General NPI Number Information
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NPI Number | 1851108096
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Entity Type | Organization
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Legal Business Name | FEMMS RESIDENTIAL HOMES INC
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Dates
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Enumeration Date | 12/11/2024
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Last Update Date | 12/11/2024
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Provider Practice Location Address
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Address Line | 11811 PASO ROBLES AVE
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City | GRANADA HILLS
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State | CA
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Zip | 91344-2562
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Country | US
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Telephone | 818-217-4081
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Fax |
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Provider Business Mailing Address
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Address Line | 17645 W SAMMY LN
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City | NORTHRIDGE
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State | CA
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Zip | 91325-2359
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Country | US
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Telephone | 818-442-2571
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Fax |
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Authorized Official
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Title or Position | SECRETARY
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Name | PAUL MAGNO MORALES
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Credential |
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Telephone | 818-203-9898
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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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