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General NPI Number Information
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NPI Number | 1316248040
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Entity Type | Organization
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Legal Business Name | JWR ENTERPRISES, LLC
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Dates
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Enumeration Date | 11/11/2010
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Last Update Date | 04/04/2023
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Provider Practice Location Address
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Address Line | 2722 E MICHIGAN AVE SUITE 100
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City | LANSING
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State | MI
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Zip | 48912-4037
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Country | US
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Telephone | 517-316-2569
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Fax | 517-316-3854
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Provider Business Mailing Address
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Address Line | 2722 E MICHIGAN AVE SUITE 100
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City | LANSING
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State | MI
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Zip | 48912-4037
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Country | US
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Telephone | 517-316-2569
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Fax | 517-316-3854
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Authorized Official
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Title or Position | CO-OWNER
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Name | MRS. DEBRA J RILEY
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Credential |
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Telephone | 517-316-2569
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA0600X
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Taxonomy Name | Adult Day Care Clinic/Center
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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 | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State | MI
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