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General NPI Number Information
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NPI Number | 1255382255
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Entity Type | Organization
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Legal Business Name | ULTIMATE HOME CARE ,INC
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Dates
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Enumeration Date | 05/14/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 29216 FORD RD SUITE110
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City | GARDEN CITY
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State | MI
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Zip | 48135-2848
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Country | US
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Telephone | 313-806-2450
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Fax |
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Provider Business Mailing Address
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Address Line | 29216 FORD RD SUITE110
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City | GARDEN CITY
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State | MI
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Zip | 48135-2848
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. FAWZIYAH HAIDER
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Credential |
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Telephone | 313-806-2450
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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 | 06386E
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License Number State | MI
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