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General NPI Number Information
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NPI Number | 1437717071
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Entity Type | Organization
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Legal Business Name | SKYLERS COMPASSIONATE CARE
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Dates
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Enumeration Date | 05/30/2019
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Last Update Date | 06/11/2019
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Provider Practice Location Address
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Address Line | 9267 ARTESIAN ST
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City | DETROIT
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State | MI
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Zip | 48228-1703
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Country | US
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Telephone | 313-492-1879
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Fax | 313-397-2351
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Provider Business Mailing Address
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Address Line | PO BOX 3877
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City | MELVINDALE
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State | MI
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Zip | 48122-0877
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Country | US
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Telephone | 313-492-1879
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Fax | 313-397-2351
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Authorized Official
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Title or Position | OWNER
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Name | MS. LAKISHA MARIE LIGE
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Credential |
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Telephone | 313-492-1879
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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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