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General NPI Number Information
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NPI Number | 1184163529
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Entity Type | Organization
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Legal Business Name | DIAMONDS OF MY HEART LLC
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Dates
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Enumeration Date | 02/17/2017
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Last Update Date | 05/24/2021
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Provider Practice Location Address
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Address Line | 14419 E 7 MILE RD
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City | DETROIT
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State | MI
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Zip | 48205-2446
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Country | US
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Telephone | 586-745-1752
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Fax |
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Provider Business Mailing Address
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Address Line | 14419 E 7 MILE RD
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City | DETROIT
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State | MI
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Zip | 48205-2446
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Country | US
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Telephone | 586-745-1752
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Fax |
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Authorized Official
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Title or Position | OWNER/ ADULT CARE PROVIDER
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Name | JENNIFER CURTIS
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Credential | STATE OF MI LICENSED
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Telephone | 586-745-1752
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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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 | 385H00000X
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Taxonomy Name | Respite Care
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 174200000X
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Taxonomy Name | Meals Provider
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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License Number | AS500357984
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License Number State | MI
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Taxonomy #6
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Taxonomy Code | 261QA0600X
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Taxonomy Name | Adult Day Care Clinic/Center
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License Number |
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License Number State |
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