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General NPI Number Information
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NPI Number | 1386937316
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Entity Type | Organization
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Legal Business Name | CALYX HUMAN SERVICES INC.
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Dates
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Enumeration Date | 05/24/2011
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Last Update Date | 05/24/2011
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Provider Practice Location Address
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Address Line | 26051 ROSS ST
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City | INKSTER
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State | MI
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Zip | 48141-3295
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Country | US
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Telephone | 313-914-7281
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Fax |
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Provider Business Mailing Address
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Address Line | 49217 MORNING GLORY DR
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City | MACOMB
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State | MI
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Zip | 48044-1840
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Country | US
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Telephone | 586-949-5393
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Fax | 586-329-3095
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. ARTHUR LEE ASBERRY JR.
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Credential |
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Telephone | 734-347-2265
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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 | AS8205441
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License Number State | MI
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