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General NPI Number Information
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NPI Number | 1336078757
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Entity Type | Organization
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Legal Business Name | HAVENRIDGE HOME CARE SERVICES LLLC
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Dates
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Enumeration Date | 05/14/2026
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Last Update Date | 05/14/2026
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Provider Practice Location Address
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Address Line | 18000 W 9 MILE RD STE 925
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City | SOUTHFIELD
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State | MI
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Zip | 48075-4009
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Country | US
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Telephone | 248-514-8037
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Fax |
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Provider Business Mailing Address
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Address Line | 2211 S TELEGRAPH RD UNIT 7194
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City | BLOOMFIELD HILLS
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State | MI
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Zip | 48302-4807
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER/MANAGER
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Name | DAVONNA WALKER
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Credential |
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Telephone | 248-514-8037
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 376J00000X
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Taxonomy Name | Homemaker
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License Number |
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License Number State |
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