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General NPI Number Information
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NPI Number | 1205128501
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Entity Type | Organization
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Legal Business Name | LUTHERAN HOME CARE PERSONAL ASSISTANCE
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Dates
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Enumeration Date | 05/05/2011
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Last Update Date | 04/26/2022
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Provider Practice Location Address
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Address Line | 5935 SHATTUCK RD
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City | SAGINAW
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State | MI
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Zip | 48603-2699
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Country | US
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Telephone | 989-262-7444
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Fax | 989-262-7445
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Provider Business Mailing Address
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Address Line | 100 MAYER RD
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City | FRANKENMUTH
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State | MI
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Zip | 48734-1334
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Country | US
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Telephone | 989-262-7405
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Fax |
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Authorized Official
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Title or Position | SVP CFO
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Name | TIM KALBFLEISCH
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Credential |
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Telephone | 989-262-7388
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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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Taxonomy #2
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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