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General NPI Number Information
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NPI Number | 1124010533
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Entity Type | Organization
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Legal Business Name | PLATINUM CARE HOME HEALTH SERVICES, INC.
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Dates
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Enumeration Date | 08/22/2005
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Last Update Date | 01/02/2013
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Provider Practice Location Address
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Address Line | 25572 SCHOENHERR RD
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City | WARREN
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State | MI
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Zip | 48089-1420
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Country | US
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Telephone | 586-268-2628
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Fax | 586-268-3298
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Provider Business Mailing Address
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Address Line | 25572 SCHOENHERR RD
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City | WARREN
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State | MI
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Zip | 48089-1420
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Country | US
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Telephone | 586-268-2628
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Fax | 586-268-3298
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Authorized Official
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Title or Position | PRESIDENT & CEO
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Name | MR. LLOYD SIO
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Credential |
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Telephone | 586-268-2628
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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 | 237528
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License Number State | MI
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