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General NPI Number Information
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NPI Number | 1184137010
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Entity Type | Organization
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Legal Business Name | VAIL HOUSE-MIDLAND INC.
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Dates
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Enumeration Date | 11/14/2017
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Last Update Date | 09/12/2019
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Provider Practice Location Address
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Address Line | 240 W MAIN ST STE 2600
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City | MIDLAND
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State | MI
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Zip | 48640-5191
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Country | US
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Telephone | 989-374-0422
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Fax | 989-488-4162
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Provider Business Mailing Address
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Address Line | 301 TOWNSEND ST
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City | MIDLAND
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State | MI
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Zip | 48640-5130
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Country | US
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Telephone | 989-374-0422
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Fax | 989-488-4162
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | LORI J SUTTON
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Credential |
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Telephone | 989-374-0422
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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 |
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