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General NPI Number Information
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NPI Number | 1043444250
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Entity Type | Organization
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Legal Business Name | GANTON HOME CARE, LLC
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Dates
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Enumeration Date | 05/04/2009
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Last Update Date | 06/16/2013
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Provider Practice Location Address
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Address Line | 3600 SPRING ARBOR RD
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City | JACKSON
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State | MI
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Zip | 49201-9301
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Country | US
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Telephone | 517-990-6444
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Fax | 517-990-6447
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Provider Business Mailing Address
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Address Line | 2121 ROBINSON RD
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City | JACKSON
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State | MI
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Zip | 49203-3658
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Country | US
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Telephone | 517-787-4150
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Fax | 517-787-4708
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Authorized Official
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Title or Position | OWNER
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Name | MR. JOHN GANTON
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Credential |
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Telephone | 517-787-4150
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care 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 |
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