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A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Assisted Living Facility |
310400000X | |||
Alzheimer Center /Dementia Center/Dementia Special Care Unit |
311500000X |
| NPI # | 1275131237 |
| LBN Legal business name | PACIFICA KENMORE LLC |
| Authorized official | DEEPAK ISRANI - (GENERAL MANAGER) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 10/13/2020 |
| Last updated | 10/13/2020 - About 6 years ago |
| Identifiers | n/a |
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PACIFICA KENMORE LLC