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General NPI Number Information
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NPI Number | 1013964428
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Entity Type | Organization
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Legal Business Name | FAITH HOMECARE SERVICES, LLC.
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Dates
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Enumeration Date | 05/30/2006
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Last Update Date | 06/08/2012
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Provider Practice Location Address
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Address Line | 28431 UTICA RD SUITE B
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City | ROSEVILLE
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State | MI
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Zip | 48066-2532
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Country | US
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Telephone | 586-447-0100
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Fax | 586-447-0102
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Provider Business Mailing Address
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Address Line | 28431 UTICA RD SUITE B
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City | ROSEVILLE
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State | MI
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Zip | 48066-2532
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Country | US
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Telephone | 586-447-0100
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Fax | 586-447-0102
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Authorized Official
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Title or Position | PRESIDENT & CEO
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Name | MRS. ISABEL TCRUZ
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Credential |
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Telephone | 586-447-0100
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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 | 251E00000X-HOME HEAL
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License Number State | MI
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