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General NPI Number Information
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NPI Number | 1245620681
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Entity Type | Organization
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Legal Business Name | SACRED CARE HOSPICE
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Dates
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Enumeration Date | 01/23/2015
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Last Update Date | 01/23/2015
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Provider Practice Location Address
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Address Line | 32371 DEQUINDRE RD
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City | MADISON HEIGHTS
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State | MI
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Zip | 48071-1594
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Country | US
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Telephone | 248-850-2531
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Fax | 248-850-2531
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Provider Business Mailing Address
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Address Line | 32371 DEQUINDRE RD
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City | MADISON HEIGHTS
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State | MI
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Zip | 48071-1594
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Country | US
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Telephone | 248-850-2531
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Fax | 248-850-2531
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Authorized Official
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Title or Position | CEO
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Name | MS. ZAINA ASSAF
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Credential |
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Telephone | 407-529-9348
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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License Number |
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License Number State |
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