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General NPI Number Information
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NPI Number | 1285284174
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Entity Type | Organization
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Legal Business Name | SIMPLY A LOVING TOUCH HOME CARE SERVICES, LLC
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Dates
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Enumeration Date | 09/13/2019
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Last Update Date | 09/13/2019
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Provider Practice Location Address
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Address Line | 234 COLRAIN ST SW
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City | WYOMING
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State | MI
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Zip | 49548-1013
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Country | US
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Telephone | 616-288-5448
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 120097
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City | GRAND RAPIDS
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State | MI
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Zip | 49528-0102
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Country | US
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Telephone | 616-288-5448
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | KATRINA JONES
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Credential |
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Telephone | 616-477-3662
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care 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 | 320900000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
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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 | 374U00000X
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Taxonomy Name | Home Health Aide
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 385HR2060X
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Taxonomy Name | Child Intellectual and/or Developmental Disabilities Respite Care
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License Number |
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License Number State |
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Taxonomy #5
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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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