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General NPI Number Information
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NPI Number | 1407007032
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Entity Type | Organization
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Legal Business Name | DIVERSIFIED HOME HEALTH CARE INC
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Dates
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Enumeration Date | 10/01/2008
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Last Update Date | 12/03/2015
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Provider Practice Location Address
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Address Line | 16250 NORTHLAND DR STE 241
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City | SOUTHFIELD
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State | MI
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Zip | 48075-5205
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Country | US
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Telephone | 248-354-2125
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Fax | 248-359-6203
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Provider Business Mailing Address
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Address Line | 6689 ORCHARD LAKE RD STE 328
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City | WEST BLOOMFIELD
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State | MI
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Zip | 48322-3404
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Country | US
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Telephone | 248-354-2125
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Fax | 248-359-6203
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | MS. JENNIFER BARBARA KERR
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Credential | RN, CRRN,CCM, CNLCP
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Telephone | 248-354-2125
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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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