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General NPI Number Information
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NPI Number | 1477936367
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Entity Type | Organization
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Legal Business Name | TRILOGY HOME HEALTH VENTURE LLC - RIGHT AT HOME - CENTRAL MICHIGAN
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Dates
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Enumeration Date | 07/09/2015
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Last Update Date | 12/27/2019
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Provider Practice Location Address
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Address Line | 734 W GRAND RIVER AVE
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City | BRIGHTON
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State | MI
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Zip | 48116-2392
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Country | US
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Telephone | 810-225-4724
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Fax | 810-225-6014
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Provider Business Mailing Address
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Address Line | 734 W GRAND RIVER AVE
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City | BRIGHTON
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State | MI
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Zip | 48116-2392
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Country | US
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Telephone | 810-225-4724
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Fax | 810-225-6014
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Authorized Official
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Title or Position | OWNER
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Name | MR. BARRY L PAXTON
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Credential | BS, MBA
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Telephone | 810-225-4724
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number | NONE REQUIRED
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License Number State | MI
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