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NPI 1275141699

NPI 1275141699 : ORCHARD LIVING VIEW INC : SHELBY TOWNSHIP, MI

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General NPI Number Information
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    NPI Number           |    1275141699
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    Entity Type          |    Organization 
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    Legal Business Name  |    ORCHARD LIVING VIEW INC 
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Dates
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    Enumeration Date     |    07/22/2020
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    Last Update Date     |    10/06/2023
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Provider Practice Location Address
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    Address Line         |    2532 24 MILE RD 
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    City                 |    SHELBY TOWNSHIP
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    State                |    MI
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    Zip                  |    48316-2762
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    Country              |    US
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    Telephone            |    248-931-6657
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    2532 24 MILE RD 
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    City                 |    SHELBY TOWNSHIP
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    State                |    MI
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    Zip                  |    48316-2762
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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    |    OWNER
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    Name                 |     SHELLEY  LETZER 
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    Credential           |    
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    Telephone            |    248-931-6657
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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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Taxonomy #2
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    Taxonomy Code        |    261QA0600X
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    Taxonomy Name        |    Adult Day Care Clinic/Center
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    License Number       |    
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    License Number State |    
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Taxonomy #3
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    Taxonomy Code        |    1041C0700X
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    Taxonomy Name        |    Clinical Social Worker
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    License Number       |    
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    License Number State |    
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