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General NPI Number Information
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NPI Number | 1477685048
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Entity Type | Organization
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Legal Business Name | 1ST CALL HOME HEALTHCARE, LLC
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Dates
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Enumeration Date | 03/09/2007
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Last Update Date | 09/11/2024
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Provider Practice Location Address
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Address Line | 22367 STARKS DR
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City | CLINTON TWP
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State | MI
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Zip | 48036-1197
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Country | US
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Telephone | 248-712-4854
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Fax | 586-630-3021
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Provider Business Mailing Address
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Address Line | 22367 STARKS DR
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City | CLINTON TWP
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State | MI
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Zip | 48036-1197
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Country | US
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Telephone | 248-712-4854
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Fax | 248-712-4891
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Authorized Official
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Title or Position | OWNER / BOARD MEMBER
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Name | MR. JASON DAVID GROTH
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Credential |
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Telephone | 586-709-2314
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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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