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1306597497 NPI number — WAKECO HOLDING COMPANY

NPI Number: 1306597497
Health Care Provider/Practitioner: WAKECO HOLDING COMPANY

Information about “1306597497” NPI (WAKECO HOLDING COMPANY) exists in 1306597497 in HTML format HTML  |  1306597497 in plain Text format TXT  |  1306597497 in PDF (Portable Document Format) PDF  |  1306597497 in an XML format XML  formats.

NPI Number : 1306597497 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1306597497",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "WAKECO HOLDING COMPANY",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "PO BOX 51723",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "LIVONIA",
    "MailingAddressStateName": "MI",
    "MailingAddressPostalCode": "48151-5723",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "734-421-4010",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "13101 ECKLES RD STE 103",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "PLYMOUTH",
    "PracticeLocationAddressStateName": "MI",
    "PracticeLocationAddressPostalCode": "48170-4245",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "313-288-9736",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "01/11/2022",
    "LastUpdateDate": "01/11/2022",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "STEPHENS",
    "AuthorizedOfficialFirstName": "CODY",
    "AuthorizedOfficialMiddleName": "ISAIAH",
    "AuthorizedOfficialTitle": "PRESIDENT",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "313-288-9736",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "253Z00000X",
          "TaxonomyName": "In Home Supportive Care Agency",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "291U00000X",
          "TaxonomyName": "Clinical Medical Laboratory",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "251E00000X",
          "TaxonomyName": "Home Health Agency",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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