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General NPI Number Information
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NPI Number | 1306510193
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Entity Type | Organization
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Legal Business Name | FAVORED GROUP HOME, INC.
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Dates
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Enumeration Date | 08/04/2021
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Last Update Date | 02/02/2026
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Provider Practice Location Address
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Address Line | 15836 BEECH DALY RD
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City | REDFORD
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State | MI
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Zip | 48239-3806
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Country | US
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Telephone | 313-538-2044
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Fax | 269-224-6058
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Provider Business Mailing Address
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Address Line | 18346 15 1/2 MILE RD
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City | MARSHALL
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State | MI
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Zip | 49068-9433
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Country | US
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Telephone | 313-289-9782
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Fax | 269-224-6058
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Authorized Official
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Title or Position | CEO/PRESIDENT
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Name | DR. PEDRO OJITEVWOBO TOWEH
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Credential | MD
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Telephone | 313-289-9782
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253J00000X
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Taxonomy Name | Foster Care Agency
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License Number |
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License Number State |
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