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NPI 1205799079

NPI 1205799079 : KALAMAZOO HOME HEALTH CARE, INC. : KALAMAZOO, MI

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General NPI Number Information
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    NPI Number           |    1205799079
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    Entity Type          |    Organization 
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    Legal Business Name  |    KALAMAZOO HOME HEALTH CARE, INC. 
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Dates
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    Enumeration Date     |    12/08/2025
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    Last Update Date     |    12/08/2025
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Provider Practice Location Address
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    Address Line         |    251 N ROSE ST STE 220 
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    City                 |    KALAMAZOO
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    State                |    MI
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    Zip                  |    49007-3874
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    Country              |    US
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    Telephone            |    269-303-6366
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    Fax                  |    269-849-8703
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Provider Business Mailing Address
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    Address Line         |    251 N ROSE ST STE 220 
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    City                 |    KALAMAZOO
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    State                |    MI
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    Zip                  |    49007-3874
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    Country              |    US
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    Telephone            |    269-303-6366
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    Fax                  |    269-849-8703
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Authorized Official
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    Title or Position    |    PRESIDENT AND CEO
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    Name                 |     MAHMOUD A ALDWAKE 
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    Credential           |    RPT
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    Telephone            |    269-303-6366
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    2251X0800X
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    Taxonomy Name        |    Orthopedic Physical Therapist
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    License Number       |    
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    License Number State |    
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