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General NPI Number Information
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NPI Number | 1902604457
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Entity Type | Organization
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Legal Business Name | NEW KINGDOM LIVING FOUNDATION CARE
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Dates
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Enumeration Date | 03/03/2025
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Last Update Date | 12/18/2025
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Provider Practice Location Address
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Address Line | 1800 POST OAK DR
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City | DAVENPORT
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State | FL
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Zip | 33837-8515
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Country | US
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Telephone | 267-774-1625
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Fax |
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Provider Business Mailing Address
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Address Line | 1819 BRENTWOOD CT
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City | DAVENPORT
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State | FL
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Zip | 33837-1795
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Country | US
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Telephone | 267-774-1625
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | JASMINE WARDLAW
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Credential |
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Telephone | 321-443-6351
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 376J00000X
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Taxonomy Name | Homemaker
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 385H00000X
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Taxonomy Name | Respite Care
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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