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General NPI Number Information
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NPI Number | 1982456307
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Entity Type | Organization
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Legal Business Name | MEANINGFUL LIFE SENIOR HOUSING & HOMECARE
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Dates
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Enumeration Date | 04/02/2024
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Last Update Date | 04/03/2024
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Provider Practice Location Address
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Address Line | 9236 RAINSONG AVE
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City | HESPERIA
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State | CA
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Zip | 92344-0051
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Country | US
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Telephone | 909-493-9168
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 2352
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City | RANCHO CUCAMONGA
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State | CA
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Zip | 91729-2352
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Country | US
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Telephone | 909-493-9168
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | DARLENE LUNA
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Credential |
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Telephone | 909-493-9168
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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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