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General NPI Number Information
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NPI Number | 1396141073
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Entity Type | Organization
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Legal Business Name | ACCELERATED PERSONAL CARE SERVICES, INC.
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Dates
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Enumeration Date | 11/07/2014
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Last Update Date | 11/07/2014
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Provider Practice Location Address
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Address Line | 2321 WATER ST SUITE
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City | PORT HURON
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State | MI
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Zip | 48060-2485
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Country | US
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Telephone | 810-982-9200
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Fax | 810-982-9210
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Provider Business Mailing Address
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Address Line | 5221 LAKESHORE RD
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City | FORT GRATIOT
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State | MI
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Zip | 48059-3148
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Country | US
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Telephone | 810-385-0737
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Fax | 810-385-0910
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Authorized Official
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Title or Position | ADMINISTRATOR/OWNER
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Name | ADELINA BASTE MCCAULLEY
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Credential | REGISTERED NURSE
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Telephone | 810-385-0737
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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