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NPI 1285920330

NPI 1285920330 : DETROIT HOME HEALTH SERVICES INC : LIVONIA, MI

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General NPI Number Information
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    NPI Number           |    1285920330
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    Entity Type          |    Organization 
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    Legal Business Name  |    DETROIT HOME HEALTH SERVICES INC 
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Dates
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    Enumeration Date     |    06/27/2011
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    Last Update Date     |    06/28/2011
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Provider Practice Location Address
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    Address Line         |    15223 FARMINGTON RD STE 12 
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    City                 |    LIVONIA
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    State                |    MI
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    Zip                  |    48154-5411
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    Country              |    US
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    Telephone            |    734-328-2350
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    Fax                  |    734-328-2351
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Provider Business Mailing Address
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    Address Line         |    15223 FARMINGTON RD STE 12 
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    City                 |    LIVONIA
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    State                |    MI
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    Zip                  |    48154-5411
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    Country              |    US
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    Telephone            |    734-328-2350
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    Fax                  |    734-328-2351
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |     KHADIM  HUSSAIN 
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    Credential           |    
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    Telephone            |    734-328-2350
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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 |    
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