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General NPI Number Information
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NPI Number | 1285256362
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Entity Type | Organization
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Legal Business Name | CARE ADULT DAY CARE
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Dates
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Enumeration Date | 05/12/2020
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Last Update Date | 12/12/2022
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Provider Practice Location Address
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Address Line | 31521 W STONEWOOD CT
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City | FARMINGTON HILLS
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State | MI
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Zip | 48334-2547
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Country | US
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Telephone | 248-254-3195
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Fax | 248-254-3360
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Provider Business Mailing Address
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Address Line | 430 FRANKLIN LAKE CIR
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City | OXFORD
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State | MI
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Zip | 48371-6705
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Country | US
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Telephone | 245-872-2717
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Fax | 248-800-4148
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Authorized Official
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Title or Position | DIRECTOR OF OPERATIONS
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Name | CLIFFORD JEROME BROWN
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Credential |
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Telephone | 248-722-7171
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3104A0625X
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Taxonomy Name | Assisted Living Facility (Mental Illness)
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License Number |
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License Number State |
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