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General NPI Number Information
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NPI Number | 1447302195
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Entity Type | Organization
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Legal Business Name | GENTLE CARE HOME HEALTH SERVICES, INC.
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Dates
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Enumeration Date | 01/16/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 15305 DIX TOLEDO RD
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City | SOUTHGATE
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State | MI
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Zip | 48195-2693
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Country | US
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Telephone | 734-246-3134
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Fax | 734-246-3641
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Provider Business Mailing Address
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Address Line | 15305 DIX TOLEDO RD
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City | SOUTHGATE
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State | MI
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Zip | 48195-2693
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Country | US
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Telephone | 734-246-3134
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Fax | 734-246-3641
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MRS. MERCEDES TEODORO
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Credential | R.N.
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Telephone | 734-243-3134
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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 | 237470
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License Number State | MI
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