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General NPI Number Information
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NPI Number | 1114843703
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Entity Type | Organization
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Legal Business Name | WE ROCK CARE
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Dates
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Enumeration Date | 06/26/2026
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Last Update Date | 07/01/2026
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Provider Practice Location Address
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Address Line | 1255 W 14 MILE RD
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City | CLAWSON
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State | MI
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Zip | 48017-2802
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Country | US
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Telephone | 248-629-6294
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Fax |
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Provider Business Mailing Address
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Address Line | 1255 W 14 MILE RD
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City | CLAWSON
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State | MI
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Zip | 48017-2802
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Country | US
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Telephone | 248-629-6294
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | RYAN SEYBURN
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Credential |
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Telephone | 248-629-6294
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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Taxonomy #2
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Taxonomy Code | 385HR2060X
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Taxonomy Name | Child Intellectual and/or Developmental Disabilities Respite Care
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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 | 252Y00000X
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Taxonomy Name | Early Intervention Provider Agency
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 373H00000X
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Taxonomy Name | Day Training/Habilitation Specialist
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License Number |
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License Number State |
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