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General NPI Number Information
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NPI Number | 1073325593
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Entity Type | Organization
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Legal Business Name | SMW CARE SERVICES, LLC
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Dates
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Enumeration Date | 01/22/2025
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Last Update Date | 01/22/2025
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Provider Practice Location Address
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Address Line | 855 MAPLEHILL AVE SE
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City | ADA
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State | MI
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Zip | 49301-3805
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Country | US
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Telephone | 574-309-5468
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Fax |
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Provider Business Mailing Address
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Address Line | 45449 BROOKVIEW DR
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City | VAN BUREN TWP
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State | MI
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Zip | 48111-9229
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Country | US
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Telephone | 574-276-8612
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Fax |
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Authorized Official
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Title or Position | CHIEF OPERATIONS OFFICER
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Name | MICHELLE WILLIAMS
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Credential |
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Telephone | 574-276-8612
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 311ZA0620X
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Taxonomy Name | Adult Care Home Facility
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License Number |
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License Number State |
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