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General NPI Number Information
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NPI Number | 1063538536
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Entity Type | Organization
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Legal Business Name | CITY RESCUE MISSION OF SAGINAW, INC.
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Dates
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Enumeration Date | 03/22/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 3200 HOSPITAL RD
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City | SAGINAW
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State | MI
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Zip | 48603-9622
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Country | US
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Telephone | 989-792-5442
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Fax | 989-792-2717
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Provider Business Mailing Address
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Address Line | 3200 HOSPITAL RD
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City | SAGINAW
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State | MI
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Zip | 48603-9622
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Country | US
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Telephone | 989-792-5442
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Fax | 989-792-2717
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MR. KENNETH R STREETER
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Credential | N. H. A.
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Telephone | 989-792-5442
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number |
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License Number State | MI
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