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General NPI Number Information
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NPI Number | 1356661201
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Entity Type | Organization
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Legal Business Name | UNITED COUNTRY CARE INC.
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Dates
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Enumeration Date | 06/02/2010
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Last Update Date | 06/02/2010
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Provider Practice Location Address
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Address Line | 356 S UNION ST
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City | PARMA
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State | MI
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Zip | 49269-9418
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Country | US
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Telephone | 517-531-3005
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Fax | 517-531-5775
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Provider Business Mailing Address
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Address Line | PO BOX 84
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City | PARMA
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State | MI
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Zip | 49269-0084
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Country | US
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Telephone | 517-531-3005
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Fax | 517-531-5775
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Authorized Official
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Title or Position | PRESIDENT
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Name | LINDA RICE
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Credential |
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Telephone | 517-531-3005
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 320600000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Residential Treatment Facility
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License Number | AL380007070
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License Number State | MI
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