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General NPI Number Information
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NPI Number | 1134080443
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Entity Type | Organization
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Legal Business Name | OHC OF SE MICHIGAN LLC
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Dates
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Enumeration Date | 11/18/2025
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Last Update Date | 11/18/2025
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Provider Practice Location Address
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Address Line | 14930 LAPLAISANCE RD STE 115
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City | MONROE
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State | MI
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Zip | 48161-3871
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Country | US
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Telephone | 419-873-6000
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Fax |
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Provider Business Mailing Address
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Address Line | 14930 LAPLAISANCE RD STE 115
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City | MONROE
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State | MI
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Zip | 48161-3871
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Country | US
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Telephone | 419-873-6000
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MR. JOSHUA A ADAMS
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Credential |
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Telephone | 419-843-4422
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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License Number |
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License Number State |
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