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General NPI Number Information
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NPI Number | 1174496632
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Entity Type | Organization
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Legal Business Name | CASTLE COMMUNITY LIVING, LLC
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Dates
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Enumeration Date | 09/29/2025
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Last Update Date | 09/29/2025
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Provider Practice Location Address
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Address Line | 325 W CASTLE RD
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City | FOSTORIA
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State | MI
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Zip | 48435-9668
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Country | US
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Telephone | 810-417-8720
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Fax | 810-462-1536
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Provider Business Mailing Address
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Address Line | 7018 JEFFERSON RD
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City | NORTH BRANCH
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State | MI
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Zip | 48461-8669
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Country | US
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Telephone | 810-310-1135
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Fax | 810-462-1536
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Authorized Official
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Title or Position | OWNER
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Name | CYNTHIA MCNIEL
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Credential |
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Telephone | 810-310-1135
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 311ZA0620X
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Taxonomy Name | Adult Care Home Facility
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License Number |
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License Number State |
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