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General NPI Number Information
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NPI Number | 1992317762
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Entity Type | Organization
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Legal Business Name | CASTLE SENIOR LIVING, INC
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Dates
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Enumeration Date | 08/21/2020
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Last Update Date | 02/11/2025
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Provider Practice Location Address
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Address Line | 10427 W LINCOLN AVE STE 1400
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City | WEST ALLIS
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State | WI
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Zip | 53227-1263
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Country | US
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Telephone | 414-930-4432
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Fax | 262-977-7746
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Provider Business Mailing Address
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Address Line | 10427 W LINCOLN AVE STE 1400
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City | WEST ALLIS
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State | WI
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Zip | 53227-1263
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Country | US
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Telephone | 414-930-4432
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Fax | 262-977-7746
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Authorized Official
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Title or Position | DIRECTOR OF OPERATIONS
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Name | DIANA LYNN HOWELL
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Credential |
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Telephone | 262-225-3019
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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License Number |
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License Number State |
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