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General NPI Number Information
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NPI Number | 1174320246
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Entity Type | Organization
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Legal Business Name | ST. MARY'S HIGHLAND HILLS, INC.
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Dates
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Enumeration Date | 02/26/2025
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Last Update Date | 02/26/2025
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Provider Practice Location Address
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Address Line | 1660 JENNINGS MILL RD
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City | WATKINSVILLE
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State | GA
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Zip | 30677-7232
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Country | US
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Telephone | 706-353-8840
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Fax |
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Provider Business Mailing Address
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Address Line | 20555 VICTOR PKWY
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City | LIVONIA
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State | MI
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Zip | 48152-7031
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Country | US
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Telephone | 734-343-6628
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Fax |
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Authorized Official
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Title or Position | VP REIMBURSEMENT
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Name | MS. PAMELA LATOVICK
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Credential |
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Telephone | 734-343-6628
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 311500000X
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Taxonomy Name | Alzheimer Center (Dementia Center)
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License Number |
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License Number State |
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