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General NPI Number Information
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NPI Number | 1164173910
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Entity Type | Organization
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Legal Business Name | NURSE AT HOME, HOME HEALTH CARE, LLC
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Dates
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Enumeration Date | 01/13/2022
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Last Update Date | 04/05/2023
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Provider Practice Location Address
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Address Line | 18565 FOREST AVE
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City | EASTPOINTE
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State | MI
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Zip | 48021-1302
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Country | US
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Telephone | 586-571-4343
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Fax |
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Provider Business Mailing Address
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Address Line | 18565 FOREST AVE
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City | EASTPOINTE
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State | MI
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Zip | 48021-1302
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Country | US
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Telephone | 586-933-8032
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Fax | 586-300-1200
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Authorized Official
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Title or Position | DIRECT OWNER
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Name | TIFFANY HUDSON
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Credential | RN
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Telephone | 586-933-8032
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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 |
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License Number State |
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