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General NPI Number Information
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NPI Number | 1134005937
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Entity Type | Organization
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Legal Business Name | TURNING LEAF RESIDENTIAL REHABILITATION SERVICES
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Dates
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Enumeration Date | 08/15/2025
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Last Update Date | 08/15/2025
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Provider Practice Location Address
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Address Line | 621 E JOLLY RD
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City | LANSING
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State | MI
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Zip | 48910-6804
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Country | US
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Telephone | 517-393-5203
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Fax | 517-258-2938
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Provider Business Mailing Address
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Address Line | PO BOX 23218
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City | LANSING
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State | MI
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Zip | 48909-3218
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Country | US
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Telephone | 517-393-5203
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Fax | 517-258-2938
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Authorized Official
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Title or Position | CEO
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Name | SAMI WAJIH AL JALLAD
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Credential | MPA
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Telephone | 517-393-5203
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 323P00000X
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Taxonomy Name | Psychiatric Residential Treatment Facility
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License Number |
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License Number State |
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