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General NPI Number Information
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NPI Number | 1295407955
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Entity Type | Organization
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Legal Business Name | OAKTOWN COMMUNITY HOMES
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Dates
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Enumeration Date | 10/01/2021
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Last Update Date | 10/01/2021
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Provider Practice Location Address
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Address Line | 512 LUTHER AVE
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City | PONTIAC
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State | MI
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Zip | 48341-2572
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Country | US
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Telephone | 248-289-2243
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Fax |
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Provider Business Mailing Address
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Address Line | 653 BAGLEY ST
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City | PONTIAC
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State | MI
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Zip | 48341-2612
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Country | US
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Telephone | 248-289-2243
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Fax |
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Authorized Official
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Title or Position | MANAGERS
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Name | DYMOND / LAMEKA FOWLER / BRITTON
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Credential | CNA
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Telephone | 248-289-2243
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251G00000X
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Taxonomy Name | Community Based Hospice 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 | 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 #3
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Taxonomy Code | 3140N1450X
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Taxonomy Name | Pediatric Skilled Nursing Facility
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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 | 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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