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General NPI Number Information
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NPI Number | 1396087078
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Entity Type | Organization
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Legal Business Name | HILL'S SUPPORT SERVICES, INC.
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Dates
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Enumeration Date | 03/20/2013
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Last Update Date | 11/01/2013
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Provider Practice Location Address
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Address Line | 26726 LEHIGH ST
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City | INKSTER
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State | MI
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Zip | 48141-3127
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Country | US
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Telephone | 313-617-3317
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Fax | 734-895-7328
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Provider Business Mailing Address
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Address Line | 26726 LEHIGH ST
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City | INKSTER
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State | MI
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Zip | 48141-3127
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Country | US
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Telephone | 313-617-3317
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Fax | 734-895-7328
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Authorized Official
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Title or Position | PRESIDENT/EXECUTIVE DIRECTOR
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Name | MR. LOUIS EDWARD HILL
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Credential |
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Telephone | 313-617-3317
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 320900000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
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License Number | AS820278672
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 320900000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
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License Number | AS820281136
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License Number State | MI
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