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General NPI Number Information
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NPI Number | 1013226976
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Entity Type | Organization
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Legal Business Name | DIGNITY HOME HEALTH CARE, LLC
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Dates
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Enumeration Date | 09/27/2010
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Last Update Date | 11/15/2013
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Provider Practice Location Address
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Address Line | 250 MONROE AVENUE NORTHWEST SUITE 400
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City | GRAND RAPIDS
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State | MI
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Zip | 49503
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Country | US
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Telephone | 855-482-3442
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Fax | 855-482-3442
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Provider Business Mailing Address
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Address Line | 5377 BATES RD
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City | WILLIAMSBURG
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State | MI
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Zip | 49690-9739
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Country | US
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Telephone | 855-482-3442
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Fax | 855-482-3442
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Authorized Official
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Title or Position | PRESIDENT /CEO
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Name | MR. NATHAN ALLEN MOORE
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Credential | BS, CCM, CBIS
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Telephone | 231-632-8180
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State | MI
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