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General NPI Number Information
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NPI Number | 1083432769
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Entity Type | Organization
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Legal Business Name | ROSE'S HOME CARE L.L.C
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Dates
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Enumeration Date | 10/01/2024
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Last Update Date | 10/01/2024
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Provider Practice Location Address
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Address Line | 25083 ROSS DR
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City | REDFORD
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State | MI
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Zip | 48239-3363
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Country | US
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Telephone | 248-254-2285
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Fax | 734-939-6233
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Provider Business Mailing Address
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Address Line | 25083 ROSS DR
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City | REDFORD
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State | MI
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Zip | 48239-3363
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Country | US
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Telephone | 248-254-2285
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Fax | 734-939-6233
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Authorized Official
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Title or Position | CEO
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Name | ONOME AKISE
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Credential |
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Telephone | 248-254-2285
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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 |
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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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Taxonomy #3
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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