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General NPI Number Information
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NPI Number | 1497490585
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Entity Type | Organization
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Legal Business Name | WINTERWOOD ESTATES LLC
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Dates
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Enumeration Date | 05/03/2022
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Last Update Date | 01/04/2023
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Provider Practice Location Address
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Address Line | 8470 PARSHALLVILLE RD
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City | FENTON
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State | MI
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Zip | 48430-9211
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Country | US
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Telephone | 810-869-3556
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Fax | 810-632-6890
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Provider Business Mailing Address
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Address Line | 8470 PARSHALLVILLE RD
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City | FENTON
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State | MI
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Zip | 48430-9211
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Country | US
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Telephone | 810-869-3556
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Fax | 810-632-6890
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Authorized Official
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Title or Position | OWNER
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Name | NANCY J. POSEY
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Credential | LICENSEE
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Telephone | 810-869-3556
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 311ZA0620X
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Taxonomy Name | Adult Care Home Facility
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License Number |
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License Number State |
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