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General NPI Number Information
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NPI Number | 1962530683
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Entity Type | Organization
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Legal Business Name | HOLY FAMILY HOME
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Dates
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Enumeration Date | 03/02/2007
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Last Update Date | 04/30/2008
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Provider Practice Location Address
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Address Line | 5300 CHESTER AVE
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City | PHILADELPHIA
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State | PA
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Zip | 19143-4929
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Country | US
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Telephone | 215-729-5153
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Fax | 215-727-5332
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Provider Business Mailing Address
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Address Line | 5300 CHESTER AVE
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City | PHILADELPHIA
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State | PA
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Zip | 19143-4929
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Country | US
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Telephone | 215-729-5153
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Fax | 215-727-5332
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | CATHERINE FRAIN
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Credential | NHA
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Telephone | 215-729-5153
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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 | 144930
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 313M00000X
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Taxonomy Name | Nursing Facility/Intermediate Care Facility
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License Number | 341602
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number | 341602
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License Number State | PA
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