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General NPI Number Information
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NPI Number | 1164541447
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Entity Type | Organization
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Legal Business Name | SUPPORTIVE CARE SERVICES OF MICHIGAN INC
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Dates
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Enumeration Date | 03/28/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 400 MACK AVE
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City | DETROIT
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State | MI
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Zip | 48201-2136
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Country | US
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Telephone | 313-578-5000
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Fax |
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Provider Business Mailing Address
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Address Line | 400 MACK AVE
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City | DETROIT
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State | MI
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Zip | 48201-2136
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Country | US
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Telephone | 313-578-5000
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Fax |
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Authorized Official
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Title or Position | SENIOR V.P. BUSINESS OPS & CFO
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Name | MR. ROBERT CAHILL
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Credential |
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Telephone | 313-578-5017
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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 |
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License Number State |
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