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General NPI Number Information
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NPI Number | 1093155186
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Entity Type | Organization
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Legal Business Name | MALOY HOMES, INC.
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Dates
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Enumeration Date | 07/03/2013
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Last Update Date | 07/03/2013
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Provider Practice Location Address
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Address Line | 26280 HUNTINGTON ST
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City | ROSEVILLE
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State | MI
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Zip | 48066-3439
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Country | US
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Telephone | 313-633-3555
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Fax | 586-776-7915
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Provider Business Mailing Address
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Address Line | 26280 HUNTINGTON ST
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City | ROSEVILLE
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State | MI
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Zip | 48066-3439
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Country | US
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Telephone | 313-633-3555
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Fax | 586-776-7915
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Authorized Official
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Title or Position | PROVIDER
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Name | MS. GABRIELL MALOY
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Credential |
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Telephone | 313-633-3555
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3104A0630X
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Taxonomy Name | Assisted Living Facility (Behavioral Disturbances)
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License Number | AS500286652
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 315D00000X
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Taxonomy Name | Inpatient Hospice
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License Number | AS500286652
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License Number State | MI
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Taxonomy #3
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number | AS500286652
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License Number State | MI
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Taxonomy #4
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Taxonomy Code | 320800000X
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Taxonomy Name | Mental Illness Community Based Residential Treatment Facility
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License Number | AS500286652
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License Number State | MI
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Taxonomy #5
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Taxonomy Code | 311500000X
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Taxonomy Name | Alzheimer Center (Dementia Center)
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License Number | AS500286652
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License Number State | MI
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Taxonomy #6
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Taxonomy Code | 3104A0625X
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Taxonomy Name | Assisted Living Facility (Mental Illness)
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License Number | AS500286652
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License Number State | MI
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