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General NPI Number Information
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NPI Number | 1285785568
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Entity Type | Organization
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Legal Business Name | ABBYSHIRE PLACE HEALTH AND REHABILITATION CENTER LLC
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Dates
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Enumeration Date | 01/15/2007
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Last Update Date | 08/30/2024
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Provider Practice Location Address
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Address Line | 311 BUCK RIDGE RD
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City | BIDWELL
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State | OH
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Zip | 45614-9016
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Country | US
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Telephone | 740-446-7150
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Fax | 740-446-1248
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Provider Business Mailing Address
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Address Line | 25500 MEADOWBROOK RD STE 230
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City | NOVI
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State | MI
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Zip | 48375-1882
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Country | US
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Telephone | 248-692-4355
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Fax | 248-692-4356
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Authorized Official
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Title or Position | VP FINANCE
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Name | MS. MARIANNE CONNER
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Credential |
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Telephone | 248-277-5724
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number | 4588
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License Number State | OH
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