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General NPI Number Information
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NPI Number | 1215341276
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Entity Type | Organization
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Legal Business Name | ENRICHED LIFE HOME CARE SERVICES
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Dates
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Enumeration Date | 06/18/2014
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Last Update Date | 06/18/2014
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Provider Practice Location Address
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Address Line | 15223 FARMINGTON RD SUITE 10
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City | LIVONIA
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State | MI
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Zip | 48154-5411
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Country | US
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Telephone | 734-744-6477
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Fax | 734-437-1178
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Provider Business Mailing Address
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Address Line | 15223 FARMINGTON RD SUITE 10
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City | LIVONIA
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State | MI
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Zip | 48154-5411
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Country | US
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Telephone | 734-744-6477
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Fax | 734-437-1178
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Authorized Official
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Title or Position | OWNER
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Name | MRS. CHRISTINA MERRY SLATTON
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Credential | CSCM
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Telephone | 734-744-6477
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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