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General NPI Number Information
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NPI Number | 1245464668
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Entity Type | Organization
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Legal Business Name | ARBOR WOODS HOME HEALTH CARE, INC.
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Dates
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Enumeration Date | 05/13/2009
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Last Update Date | 05/22/2018
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Provider Practice Location Address
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Address Line | 1615 W CENTRE AVE STE 201
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City | PORTAGE
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State | MI
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Zip | 49024
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Country | US
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Telephone | 269-888-2333
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Fax | 269-888-2555
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Provider Business Mailing Address
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Address Line | 1615 W CENTRE AVE STE 201
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City | PORTAGE
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State | MI
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Zip | 49024-5382
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Country | US
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Telephone | 269-888-2333
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Fax | 269-888-2555
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | NADEEM MALLICK
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Credential |
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Telephone | 269-888-2333
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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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