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General NPI Number Information
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NPI Number | 1497199004
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Entity Type | Organization
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Legal Business Name | ELEGANT HOME CARE LLC
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Dates
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Enumeration Date | 04/25/2013
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Last Update Date | 04/25/2013
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Provider Practice Location Address
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Address Line | 31153 PLYMOUTH RD STE 107
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City | LIVONIA
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State | MI
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Zip | 48150-2134
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Country | US
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Telephone | 734-524-0570
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Fax |
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Provider Business Mailing Address
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Address Line | 31153 PLYMOUTH RD STE 107
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City | LIVONIA
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State | MI
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Zip | 48150-2134
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Country | US
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Telephone | 734-524-0570
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MS. YOLANDA JENKINS
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Credential |
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Telephone | 734-524-0570
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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 |
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License Number State | MI
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