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General NPI Number Information
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NPI Number | 1407818172
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Entity Type | Organization
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Legal Business Name | QUALITY HOME HEALTH CARE SERVICES OF MICHIGAN,INC.
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Dates
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Enumeration Date | 04/06/2006
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Last Update Date | 05/28/2010
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Provider Practice Location Address
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Address Line | 23800 WEST.TEN MILE RD STE 250
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City | SOUTHFIELD
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State | MI
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Zip | 48034
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Country | US
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Telephone | 248-350-0014
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Fax |
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Provider Business Mailing Address
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Address Line | 23800 WEST.TEN MILE RD. STE 250
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City | SOUTHFIELD
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State | MI
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Zip | 48034
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Country | US
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Telephone | 248-350-0014
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | MR. MICHAEL C GILLIAM
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Credential | M.B.A.
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Telephone | 313-410-8870
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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 | 237482
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License Number State | MI
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