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General NPI Number Information
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NPI Number | 1285002774
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Entity Type | Organization
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Legal Business Name | RITE WAY HOME CARE
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Dates
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Enumeration Date | 09/14/2015
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Last Update Date | 09/14/2015
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Provider Practice Location Address
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Address Line | 19190 GREENFIELD RD
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City | DETROIT
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State | MI
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Zip | 48235-2001
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Country | US
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Telephone | 248-991-5584
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Fax |
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Provider Business Mailing Address
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Address Line | 48986 PACKARD CT
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City | VAN BUREN TWP
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State | MI
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Zip | 48111-2170
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Country | US
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Telephone | 248-991-5584
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | OMELIA BRADHAM
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Credential |
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Telephone | 734-444-4667
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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 | MI
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