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General NPI Number Information
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NPI Number | 1194951384
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Entity Type | Organization
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Legal Business Name | HOME CARE CONNECT, INC.
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Dates
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Enumeration Date | 06/02/2009
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Last Update Date | 08/26/2022
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Provider Practice Location Address
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Address Line | 33620 FIVE MILE RD STE B
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City | LIVONIA
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State | MI
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Zip | 48154
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Country | US
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Telephone | 313-541-1172
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Fax | 313-541-1171
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Provider Business Mailing Address
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Address Line | 33620 FIVE MILE RD STE B
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City | LIVONIA
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State | MI
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Zip | 48154-2866
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Country | US
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Telephone | 313-541-1172
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Fax | 313-541-1171
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MR. WARREN C MANGULABNAN
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Credential | RPT, CEEAA
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Telephone | 313-541-1172
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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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