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General NPI Number Information
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NPI Number | 1093477135
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Entity Type | Organization
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Legal Business Name | HORIZON HOSPICE SERVICES LLC
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Dates
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Enumeration Date | 10/06/2021
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Last Update Date | 10/06/2021
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Provider Practice Location Address
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Address Line | 23077 GREENFIELD RD STE 156
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City | SOUTHFIELD
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State | MI
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Zip | 48075-3770
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Country | US
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Telephone | 248-572-3252
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Fax | 313-731-1765
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Provider Business Mailing Address
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Address Line | 23077 GREENFIELD RD STE 156
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City | SOUTHFIELD
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State | MI
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Zip | 48075-3770
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Country | US
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Telephone | 248-572-3252
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Fax | 313-731-1765
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Authorized Official
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Title or Position | MANAGING PARTNER
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Name | DR. DAMITA FERGUSON
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Credential | RN
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Telephone | 248-739-2290
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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License Number |
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License Number State |
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