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General NPI Number Information
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NPI Number | 1104144831
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Entity Type | Organization
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Legal Business Name | PREMIERCARE HOME HEALTH SOLUTIONS, INC.
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Dates
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Enumeration Date | 05/05/2010
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Last Update Date | 03/10/2022
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Provider Practice Location Address
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Address Line | 32744 5 MILE RD STE B
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City | LIVONIA
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State | MI
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Zip | 48154-3046
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Country | US
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Telephone | 844-200-8679
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Fax | 855-595-7575
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Provider Business Mailing Address
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Address Line | 32744 5 MILE RD STE B
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City | LIVONIA
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State | MI
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Zip | 48154-3046
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Country | US
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Telephone | 844-200-8679
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Fax | 855-595-7575
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Authorized Official
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Title or Position | DIRECTOR/ADMINISTRATOR
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Name | LEENA SHAH
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Credential |
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Telephone | 844-200-8679
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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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