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General NPI Number Information
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NPI Number | 1043214489
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Entity Type | Organization
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Legal Business Name | SILAS HOME CARE, INC.
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Dates
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Enumeration Date | 06/13/2005
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Last Update Date | 10/16/2008
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Provider Practice Location Address
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Address Line | 32500 CONCORD DRIVE SUITE 343
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City | MADISON HEIGHTS
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State | MI
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Zip | 48071
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Country | US
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Telephone | 248-588-0512
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Fax | 586-620-6040
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Provider Business Mailing Address
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Address Line | 32500 CONCORD DRIVE SUITE 343
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City | MADISON HEIGHTS
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State | MI
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Zip | 48071
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Country | US
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Telephone | 248-588-0512
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Fax | 586-620-6040
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | MR. ROBIN E SILAS
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Credential | BSA
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Telephone | 248-588-0512
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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 | 237538
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License Number State | MI
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