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General NPI Number Information
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NPI Number | 1912927260
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Entity Type | Organization
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Legal Business Name | FLORIDA SENIOR LIVING, LLC
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Dates
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Enumeration Date | 07/20/2006
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Last Update Date | 02/15/2021
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Provider Practice Location Address
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Address Line | 1570 LAKEVIEW DR
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City | SEBRING
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State | FL
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Zip | 33870-7958
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Country | US
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Telephone | 863-385-6353
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Fax | 863-385-0807
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Provider Business Mailing Address
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Address Line | 114 STUART RD NE # 305
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City | CLEVELAND
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State | TN
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Zip | 37312-4803
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Country | US
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Telephone | 423-584-6755
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Fax |
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Authorized Official
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Title or Position | CHAIRMAN
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Name | MR. CHRISTIN JOHNSON
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Credential |
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Telephone | 865-584-6755
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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