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General NPI Number Information
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NPI Number | 1497269765
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Entity Type | Organization
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Legal Business Name | LOVING CARE SERVICES, INC.
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Dates
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Enumeration Date | 11/25/2017
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Last Update Date | 11/25/2017
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Provider Practice Location Address
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Address Line | 524 OAK ST
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City | WYANDOTTE
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State | MI
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Zip | 48192-5038
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Country | US
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Telephone | 734-246-0679
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Fax |
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Provider Business Mailing Address
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Address Line | 524 OAK ST
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City | WYANDOTTE
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State | MI
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Zip | 48192-5038
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Country | US
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Telephone | 734-246-0679
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Fax |
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Authorized Official
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Title or Position | OWNER/BUSINESS MANAGER
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Name | MR. KENNETH DWAYNE MOORE
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Credential |
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Telephone | 734-767-4171
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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 |
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Taxonomy #2
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Taxonomy Code | 385H00000X
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Taxonomy Name | Respite Care
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 3747P1801X
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Taxonomy Name | Personal Care Attendant
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License Number |
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License Number State |
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