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General NPI Number Information
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NPI Number | 1245220359
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Entity Type | Organization
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Legal Business Name | HARBOR HEALTH SERVICES INC
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Dates
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Enumeration Date | 10/28/2005
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Last Update Date | 05/03/2023
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Provider Practice Location Address
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Address Line | 1100 DEGURSE AVE
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City | MARINE CITY
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State | MI
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Zip | 48039-3807
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Country | US
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Telephone | 810-765-7144
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Fax | 810-765-9295
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Provider Business Mailing Address
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Address Line | 1100 DEGURSE AVE
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City | MARINE CITY
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State | MI
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Zip | 48039-3807
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Country | US
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Telephone | 810-765-7144
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Fax | 810-765-9295
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Authorized Official
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Title or Position | CEO
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Name | SHEFALI THAKER
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Credential |
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Telephone | 810-765-7144
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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 | N/A
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License Number State |
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