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NPI 1215982301

NPI 1215982301 : STAR HOME CARE SERVICES INC : LIVONIA, MI

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General NPI Number Information
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    NPI Number           |    1215982301
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    Entity Type          |    Organization 
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    Legal Business Name  |    STAR HOME CARE SERVICES INC 
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Dates
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    Enumeration Date     |    05/24/2006
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    Last Update Date     |    06/09/2011
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Provider Practice Location Address
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    Address Line         |    13973 FARMINGTON RD 
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    City                 |    LIVONIA
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    State                |    MI
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    Zip                  |    48154-5403
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    Country              |    US
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    Telephone            |    734-261-3576
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    Fax                  |    734-338-8834
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Provider Business Mailing Address
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    Address Line         |    13973 FARMINGTON RD 
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    City                 |    LIVONIA
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    State                |    MI
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    Zip                  |    48154-5403
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    Country              |    US
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    Telephone            |    734-261-3576
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    Fax                  |    734-338-8834
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Authorized Official
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    Title or Position    |    CEO/DIRECTOR
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    Name                 |    MRS. GLORIA  DUNLAP 
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    Credential           |    
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    Telephone            |    734-261-3576
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    251B00000X
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    Taxonomy Name        |    Case Management Agency
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    License Number       |    
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    License Number State |    MI
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Taxonomy #2
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    Taxonomy Code        |    251F00000X
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    Taxonomy Name        |    Home Infusion Agency
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    License Number       |    
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    License Number State |    MI
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Taxonomy #3
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    Taxonomy Code        |    251J00000X
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    Taxonomy Name        |    Nursing Care Agency
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    License Number       |    
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    License Number State |    MI
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Taxonomy #4
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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 |    MI
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