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General NPI Number Information
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NPI Number | 1427454560
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Entity Type | Organization
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Legal Business Name | ACTIVE LIVING FOR ALL
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Dates
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Enumeration Date | 11/18/2014
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Last Update Date | 07/05/2022
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Provider Practice Location Address
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Address Line | 201 HILLSIDE COURT
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City | EAST LANSING
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State | MI
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Zip | 48823
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Country | US
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Telephone | 517-372-6671
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Fax | 866-740-0638
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Provider Business Mailing Address
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Address Line | 201 HILLSIDE COURT
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City | EAST LANSING
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State | MI
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Zip | 48823
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Country | US
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Telephone | 517-372-6671
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Fax | 517-333-6883
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MRS. SHELBY L SCHWERI
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Credential |
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Telephone | 517-243-0684
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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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Taxonomy #2
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Taxonomy Code | 385H00000X
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Taxonomy Name | Respite Care
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 385HR2055X
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Taxonomy Name | Child Mental Illness Respite Care
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 385HR2060X
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Taxonomy Name | Child Intellectual and/or Developmental Disabilities Respite Care
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 385HR2065X
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Taxonomy Name | Child Physical Disabilities Respite Care
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 261QA0600X
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Taxonomy Name | Adult Day Care Clinic/Center
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License Number |
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License Number State |
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