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General NPI Number Information
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NPI Number | 1952730665
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Entity Type | Organization
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Legal Business Name | SUNNY HILLS ALF OF SEBRING INC
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Dates
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Enumeration Date | 11/03/2013
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Last Update Date | 11/03/2013
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Provider Practice Location Address
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Address Line | 3600 COMMERCE CENTER DR
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City | SEBRING
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State | FL
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Zip | 33870-5538
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Country | US
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Telephone | 863-382-7779
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Fax | 863-382-9715
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Provider Business Mailing Address
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Address Line | 3600 COMMERCE CENTER DR
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City | SEBRING
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State | FL
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Zip | 33870-5538
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Country | US
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Telephone | 863-382-7779
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Fax | 863-382-9715
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MRS. KATELYNN DARLENE HOLTON
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Credential |
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Telephone | 863-245-6681
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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 | AL9001
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License Number State | FL
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