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General NPI Number Information
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NPI Number | 1275319832
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Entity Type | Organization
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Legal Business Name | YOUR HOME OUR CARE
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Dates
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Enumeration Date | 09/07/2023
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Last Update Date | 09/07/2023
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Provider Practice Location Address
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Address Line | 34500 GRANDON ST
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City | LIVONIA
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State | MI
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Zip | 48150-3616
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Country | US
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Telephone | 734-560-1630
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Fax |
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Provider Business Mailing Address
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Address Line | 34500 GRANDON ST
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City | LIVONIA
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State | MI
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Zip | 48150-3616
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Country | US
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Telephone | 734-560-1630
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | SVETLANA KOWALCZYK
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Credential |
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Telephone | 734-560-1630
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 385H00000X
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Taxonomy Name | Respite Care
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License Number |
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License Number State |
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