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General NPI Number Information
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NPI Number | 1366230237
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Entity Type | Organization
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Legal Business Name | JULIA'S HEART HOME CARE AGENCY LLC
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Dates
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Enumeration Date | 04/29/2025
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Last Update Date | 04/29/2025
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Provider Practice Location Address
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Address Line | 6170 EASTKNOLL DR
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City | GRAND BLANC
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State | MI
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Zip | 48439-5004
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Country | US
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Telephone | 800-771-6340
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Fax |
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Provider Business Mailing Address
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Address Line | 6272 S SAGINAW RD # 1086
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City | GRAND BLANC
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State | MI
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Zip | 48439-2705
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Country | US
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Telephone | 800-771-6340
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | DEONKA BRYANT
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Credential |
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Telephone | 810-221-3410
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 374U00000X
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Taxonomy Name | Home Health Aide
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License Number |
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License Number State |
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