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General NPI Number Information
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NPI Number | 1174538839
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Entity Type | Organization
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Legal Business Name | SENIOR CITIZENS HOME HEALTH CARE, INC.
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Dates
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Enumeration Date | 07/30/2006
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Last Update Date | 07/11/2024
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Provider Practice Location Address
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Address Line | 25334 5 MILE RD
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City | REDFORD
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State | MI
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Zip | 48239-3704
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Country | US
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Telephone | 313-543-3280
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Fax | 313-543-3283
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Provider Business Mailing Address
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Address Line | 25334 5 MILE RD
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City | REDFORD
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State | MI
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Zip | 48239-3704
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Country | US
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Telephone | 313-543-3280
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Fax | 313-543-3283
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Authorized Official
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Title or Position | CEO/ADMINISTRATOR
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Name | SYED HASSAN SHAH
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Credential | P.T.
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Telephone | 313-543-3280
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163WH0200X
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Taxonomy Name | Home Health Registered Nurse
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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 | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | NA
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License Number State |
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