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General NPI Number Information
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NPI Number | 1104182401
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Entity Type | Organization
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Legal Business Name | RX FAMILY HOME CARE SERVICES, LLC
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Dates
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Enumeration Date | 04/11/2012
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Last Update Date | 11/29/2018
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Provider Practice Location Address
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Address Line | 306 JAY ST STE 1
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City | SAINT CLAIR
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State | MI
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Zip | 48079-5385
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Country | US
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Telephone | 810-326-0610
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Fax | 810-289-3183
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Provider Business Mailing Address
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Address Line | 306 JAY ST STE 1
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City | SAINT CLAIR
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State | MI
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Zip | 48079-5385
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Country | US
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Telephone | 810-326-0610
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Fax | 810-289-3183
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | MRS. JULIA ANN KIDDLE
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Credential |
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Telephone | 810-326-0610
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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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