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General NPI Number Information
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NPI Number | 1023477478
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Entity Type | Organization
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Legal Business Name | MARY FREE BED AT HOME, LLC
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Dates
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Enumeration Date | 02/14/2016
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Last Update Date | 01/07/2026
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Provider Practice Location Address
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Address Line | 2944 FULLER AVE NE STE 301
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City | GRAND RAPIDS
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State | MI
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Zip | 49505-3784
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Country | US
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Telephone | 855-602-2500
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Fax | 855-632-4329
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Provider Business Mailing Address
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Address Line | 5440 CORPORATE DR STE 400
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City | TROY
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State | MI
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Zip | 48098-2645
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Country | US
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Telephone | 866-402-9000
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Fax |
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Authorized Official
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Title or Position | MANAGER OF REGULATORY AFFAIRS
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Name | KAREN L SLOAF
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Credential |
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Telephone | 855-602-2500
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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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