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General NPI Number Information
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NPI Number | 1023934593
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Entity Type | Organization
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Legal Business Name | FAITHFUL HAVEN HOMECARE LLC
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Dates
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Enumeration Date | 06/27/2026
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Last Update Date | 06/27/2026
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Provider Practice Location Address
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Address Line | 20800 SOUTHFIELD RD STE 330120
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City | SOUTHFIELD
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State | MI
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Zip | 48075-4238
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Country | US
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Telephone | 586-588-4290
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Fax |
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Provider Business Mailing Address
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Address Line | 21718 MCCLUNG AVE
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City | SOUTHFIELD
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State | MI
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Zip | 48075-3218
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Country | US
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Telephone | 586-588-4290
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | RACHEL MARIE DEGREEF
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Credential |
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Telephone | 586-588-4290
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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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