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General NPI Number Information
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NPI Number | 1861153439
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Entity Type | Organization
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Legal Business Name | SUNFLOWER CARE HOME LLC
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Dates
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Enumeration Date | 01/06/2022
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Last Update Date | 01/06/2022
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Provider Practice Location Address
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Address Line | 424 MARKET
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City | EMPORIA
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State | KS
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Zip | 66801
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Country | US
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Telephone | 620-208-6670
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Fax | 620-208-6671
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Provider Business Mailing Address
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Address Line | 1103 COMMERCIAL
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City | EMPORIA
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State | KS
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Zip | 66801
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Country | US
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Telephone | 620-794-1945
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Fax | 920-208-6671
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Authorized Official
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Title or Position | MEMBER MGR
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Name | CLINT MATHEW ARNDT
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Credential | OPERATOR
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Telephone | 620-794-1945
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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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