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General NPI Number Information
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NPI Number | 1891149761
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Entity Type | Organization
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Legal Business Name | HOME SWEET CARE HOMES, INC.
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Dates
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Enumeration Date | 04/18/2016
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Last Update Date | 04/18/2016
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Provider Practice Location Address
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Address Line | 1584 DIANDA DR
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City | CONCORD
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State | CA
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Zip | 94521-1951
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Country | US
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Telephone | 510-507-2679
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Fax | 510-432-4926
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Provider Business Mailing Address
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Address Line | 2654 DEERWOOD DR
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City | SAN RAMON
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State | CA
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Zip | 94583-1512
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Country | US
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Telephone | 510-507-2679
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Fax | 510-432-4926
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Authorized Official
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Title or Position | ADMINISTRATOR OF RECORD
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Name | MRS. CHRISTINE T SORIANO
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Credential |
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Telephone | 510-507-2679
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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 | 075601359
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License Number State | CA
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