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General NPI Number Information
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NPI Number | 1487438776
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Entity Type | Organization
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Legal Business Name | CARTERS PASSIONATE CARE L.L.C.
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Dates
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Enumeration Date | 08/21/2023
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Last Update Date | 08/21/2023
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Provider Practice Location Address
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Address Line | 16189 OXLEY RD APT 104
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City | SOUTHFIELD
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State | MI
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Zip | 48075-3553
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Country | US
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Telephone | 248-739-1270
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 725445
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City | BERKLEY
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State | MI
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Zip | 48072-5445
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Country | US
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Telephone | 248-739-1270
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Fax |
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Authorized Official
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Title or Position | PATIENT CARE TECH/OWNER
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Name | RIKKIA RACHEA CARTER
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Credential |
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Telephone | 248-739-1270
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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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