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General NPI Number Information
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NPI Number | 1174609218
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Entity Type | Organization
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Legal Business Name | MCGUFFEY HOME HEALTH CARE, LLC
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Dates
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Enumeration Date | 10/31/2006
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Last Update Date | 07/17/2008
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Provider Practice Location Address
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Address Line | 3250 COOLIDGE HWY STE A
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City | BERKLEY
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State | MI
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Zip | 48072-1634
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Country | US
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Telephone | 248-591-9200
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Fax | 248-591-0623
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Provider Business Mailing Address
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Address Line | 3250 COOLIDGE HWY STE A
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City | BERKLEY
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State | MI
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Zip | 48072-1634
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Country | US
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Telephone | 248-591-9200
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Fax | 248-591-0623
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Authorized Official
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Title or Position | DIRECTOR OF NURSING & ADMINISTRATOR
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Name | MRS. MARY D POLEMITIS
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Credential | RN, BSN
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Telephone | 248-890-3235
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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 | MI
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