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General NPI Number Information
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NPI Number | 1396280459
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Entity Type | Organization
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Legal Business Name | HOME SWEET HOME CARE SERVICES LLC
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Dates
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Enumeration Date | 12/28/2016
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Last Update Date | 12/28/2016
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Provider Practice Location Address
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Address Line | 34 N WASHINGTON ST STE 34
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City | YPSILANTI
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State | MI
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Zip | 48197-2618
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Country | US
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Telephone | 734-879-0561
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Fax | 734-879-0562
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Provider Business Mailing Address
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Address Line | 4007 CARPENTER RD # 207
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City | YPSILANTI
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State | MI
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Zip | 48197-9644
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Country | US
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Telephone | 734-879-0561
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Fax | 734-879-0562
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Authorized Official
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Title or Position | OWNER
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Name | PALESTRINA V JOESPH
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Credential |
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Telephone | 734-879-0561
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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 | E79224
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License Number State | MI
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