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1851998256 NPI number — MISS K'S ENRICHMENT CENTER INC DBA CAMPBELL'S LANDING ASSISTED LIVING

NPI Number: 1851998256
Health Care Provider/Practitioner: MISS K'S ENRICHMENT CENTER INC DBA CAMPBELL'S LANDING ASSISTED LIVING

Information about “1851998256” NPI (MISS K'S ENRICHMENT CENTER INC DBA CAMPBELL'S LANDING ASSISTED LIVING) exists in 1851998256 in HTML format HTML  |  1851998256 in plain Text format TXT  |  1851998256 in PDF (Portable Document Format) PDF  |  1851998256 in an XML format XML  formats.

NPI Number : 1851998256 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1851998256",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "Y",
    "ParentOrgLBN": "MISS K'S ENRICHMENT CENTER INC",
    "ParentOrgTIN": null,
    "OrgName": "MISS K'S ENRICHMENT CENTER INC DBA CAMPBELL'S LANDING ASSISTED LIVING",
    "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": "904 LAKE MARTHA DR NE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "WINTER HAVEN",
    "MailingAddressStateName": "FL",
    "MailingAddressPostalCode": "33881-4278",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "863-207-1743",
    "MailingAddressFaxNumber": "863-875-8023",
    "FirstLinePracticeLocationAddress": "904 LAKE MARTHA DR NE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "WINTER HAVEN",
    "PracticeLocationAddressStateName": "FL",
    "PracticeLocationAddressPostalCode": "33881-4278",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "863-207-1743",
    "PracticeLocationAddressFaxNumber": "863-875-8023",
    "EnumerationDate": "10/08/2020",
    "LastUpdateDate": "10/08/2020",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "CAMPBELL",
    "AuthorizedOfficialFirstName": "KATINA",
    "AuthorizedOfficialMiddleName": "L",
    "AuthorizedOfficialTitle": "ADMINISTRATOR",
    "AuthorizedOfficialNamePrefix": "MISS",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "LPN",
    "AuthorizedOfficialTelephoneNumber": "863-207-1743",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "310400000X",
        "TaxonomyName": "Assisted Living Facility",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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