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General NPI Number Information
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NPI Number | 1326238163
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Entity Type | Organization
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Legal Business Name | HEAVEN SENT HOME CARE SERVICES
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Dates
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Enumeration Date | 07/27/2007
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Last Update Date | 07/27/2007
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Provider Practice Location Address
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Address Line | 10079 MORTENVIEW DR
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City | TAYLOR
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State | MI
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Zip | 48180-3722
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Country | US
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Telephone | 313-220-9304
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Fax | 313-769-5569
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Provider Business Mailing Address
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Address Line | 10079 MORTENVIEW DR
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City | TAYLOR
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State | MI
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Zip | 48180-3722
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Country | US
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Telephone | 313-220-9304
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Fax | 313-769-5569
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Authorized Official
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Title or Position | CO-OWNER
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Name | MRS. LYDIA MARIE MULLINS
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Credential |
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Telephone | 313-220-9304
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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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