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NPI 1285425512

NPI 1285425512 : MANOR ENHANCED SERVICES : FARMINGTON HILLS, MI

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General NPI Number Information
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    NPI Number           |    1285425512
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    Entity Type          |    Organization 
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    Legal Business Name  |    MANOR ENHANCED SERVICES 
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Dates
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    Enumeration Date     |    05/15/2025
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    Last Update Date     |    05/15/2025
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Provider Practice Location Address
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    Address Line         |    30301 W 13 MILE RD 
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    City                 |    FARMINGTON HILLS
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    State                |    MI
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    Zip                  |    48334-2209
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    Country              |    US
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    Telephone            |    248-626-6100
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    Fax                  |    248-539-1522
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Provider Business Mailing Address
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    Address Line         |    30301 W 13 MILE RD 
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    City                 |    FARMINGTON HILLS
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    State                |    MI
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    Zip                  |    48334-2209
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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    |    CEO
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    Name                 |     ELIZABETH  GOLESKI 
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    Credential           |    
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    Telephone            |    248-626-6100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    372600000X
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    Taxonomy Name        |    Adult Companion
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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        |    3747A0650X
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    Taxonomy Name        |    Attendant Care Provider
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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        |    3747P1801X
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    Taxonomy Name        |    Personal Care Attendant
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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        |    376J00000X
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    Taxonomy Name        |    Homemaker
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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        |    372500000X
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    Taxonomy Name        |    Chore Provider
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    License Number       |    
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    License Number State |    
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