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General NPI Number Information
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NPI Number | 1336453158
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Entity Type | Organization
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Legal Business Name | AT HOME CARE, INC.
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Dates
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Enumeration Date | 08/04/2010
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Last Update Date | 08/04/2010
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Provider Practice Location Address
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Address Line | 12866 FORT ST
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City | SOUTHGATE
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State | MI
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Zip | 48195-1060
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Country | US
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Telephone | 734-558-3151
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Fax | 734-225-4644
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Provider Business Mailing Address
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Address Line | 13721 NORTHLINE RD
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City | SOUTHGATE
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State | MI
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Zip | 48195-1866
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Country | US
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Telephone | 734-558-3151
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | RASMIA ODEH
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Credential |
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Telephone | 734-558-3151
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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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