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General NPI Number Information
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NPI Number | 1366946659
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Entity Type | Organization
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Legal Business Name | FROM HEAVENS JOY ASSISTED CARE SUPPORT SERVICES LLC
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Dates
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Enumeration Date | 03/21/2018
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Last Update Date | 05/31/2018
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Provider Practice Location Address
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Address Line | 14179 EVERGREEN RD
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City | DETROIT
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State | MI
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Zip | 48223
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Country | US
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Telephone | 313-790-2903
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Fax | 734-629-1585
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Provider Business Mailing Address
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Address Line | 18465 SOUTH DR
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City | SOUTHFIELD
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State | MI
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Zip | 48076-1133
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Country | US
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Telephone | 313-790-2903
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Fax | 734-629-1585
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Authorized Official
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Title or Position | CEO
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Name | DORRINDA FRANKLIN
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Credential |
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Telephone | 313-625-4236
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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