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General NPI Number Information
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NPI Number | 1063283216
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Entity Type | Organization
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Legal Business Name | PRECIOUS COMPANIONS HOMECARE LLC
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Dates
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Enumeration Date | 01/15/2024
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Last Update Date | 01/15/2024
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Provider Practice Location Address
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Address Line | 417 FOREST ST # 487
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City | KALAMAZOO
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State | MI
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Zip | 49001-2747
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Country | US
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Telephone | 269-249-7869
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Fax |
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Provider Business Mailing Address
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Address Line | 1317 EGLESTON AVE
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City | KALAMAZOO
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State | MI
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Zip | 49001-3936
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Country | US
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Telephone | 269-249-7869
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Fax |
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Authorized Official
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Title or Position | OWNER/CEO
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Name | LYNTRICE WILLIAMS
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Credential |
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Telephone | 269-249-7869
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 385H00000X
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Taxonomy Name | Respite Care
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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 | 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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