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General NPI Number Information
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NPI Number | 1144438920
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Entity Type | Organization
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Legal Business Name | RHEMA HEALTH CARE LLC
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Dates
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Enumeration Date | 05/18/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 17800 NORTHLAND PARK CT SUITE 105
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City | SOUTHFIELD
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State | MI
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Zip | 48075-4304
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Country | US
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Telephone | 248-200-2008
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Fax | 248-200-2112
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Provider Business Mailing Address
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Address Line | 17800 NORTHLAND PARK CT SUITE 105
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City | SOUTHFIELD
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State | MI
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Zip | 48075-4304
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Country | US
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Telephone | 248-200-2008
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Fax | 248-200-2112
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Authorized Official
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Title or Position | OWNER
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Name | MRS. FORDIA DOREEN MCCARTHER
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Credential | R.N.
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Telephone | 248-200-2008
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number | 4704149655
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License Number State | MI
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