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General NPI Number Information
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NPI Number | 1376721605
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Entity Type | Organization
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Legal Business Name | UNIVERSAL HOSPICE CARE, INC.
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Dates
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Enumeration Date | 02/08/2008
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Last Update Date | 07/22/2011
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Provider Practice Location Address
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Address Line | 24315 NORTHWESTERN HWY STE# 102
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City | SOUTHFIELD
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State | MI
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Zip | 48075-6815
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Country | US
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Telephone | 248-799-9225
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Fax | 248-799-9223
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Provider Business Mailing Address
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Address Line | 24315 NORTHWESTERN HWY STE# 102
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City | SOUTHFIELD
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State | MI
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Zip | 48075-6815
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Country | US
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Telephone | 248-799-9225
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Fax | 248-799-9223
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | ANDRE L LEE
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Credential |
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Telephone | 248-799-9225
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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License Number | DO NOT REQUIRE
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License Number State | MI
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