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General NPI Number Information
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NPI Number | 1972467884
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Entity Type | Organization
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Legal Business Name | RAH WINTHROP MANOR ASSISTED LIVING FACILITY
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Dates
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Enumeration Date | 12/15/2025
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Last Update Date | 12/15/2025
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Provider Practice Location Address
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Address Line | 2100 IDLEWOOD AVE
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City | RICHMOND
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State | VA
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Zip | 23220-5856
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Country | US
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Telephone | 804-278-8982
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Fax |
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Provider Business Mailing Address
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Address Line | 2100 IDLEWOOD AVE
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City | RICHMOND
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State | VA
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Zip | 23220-5856
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Country | US
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Telephone | 804-278-8982
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Fax |
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Authorized Official
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Title or Position | 100 PERCENT OWNER
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Name | CELESTINE DABIS HICKS
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Credential |
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Telephone | 804-731-6129
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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 |
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License Number State |
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