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General NPI Number Information
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NPI Number | 1942023643
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Entity Type | Organization
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Legal Business Name | STE ANNE ADULT FAMILY CARE HOME, LLC
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Dates
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Enumeration Date | 11/02/2024
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Last Update Date | 11/02/2024
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Provider Practice Location Address
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Address Line | 1008 HIBISCUS AVE
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City | LEHIGH ACRES
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State | FL
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Zip | 33972-8005
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Country | US
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Telephone | 239-888-4038
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Fax |
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Provider Business Mailing Address
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Address Line | 1008 HIBISCUS AVE
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City | LEHIGH ACRES
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State | FL
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Zip | 33972-8005
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Country | US
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Telephone | 239-888-4038
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Fax |
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Authorized Official
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Title or Position | PROVIDER
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Name | MS. GREATZ YACINTHE M.W. SAINT PAUL
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Credential |
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Telephone | 239-888-4038
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 311ZA0620X
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Taxonomy Name | Adult Care Home Facility
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License Number |
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License Number State |
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