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General NPI Number Information
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NPI Number | 1265077630
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Entity Type | Organization
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Legal Business Name | REESIE QUALITY CARE LLC
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Dates
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Enumeration Date | 11/08/2019
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Last Update Date | 11/08/2019
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Provider Practice Location Address
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Address Line | 52888 WARWICK CT
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City | CHESTERFIELD
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State | MI
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Zip | 48051-2290
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Country | US
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Telephone | 586-298-4813
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Fax |
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Provider Business Mailing Address
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Address Line | 29804 CITY CENTER DR APT 1
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City | WARREN
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State | MI
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Zip | 48093-2428
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Country | US
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Telephone | 586-298-4813
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Fax |
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Authorized Official
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Title or Position | AGENCY OWNER
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Name | BRITTANY WHITFIELD
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Credential |
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Telephone | 586-298-4813
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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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