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General NPI Number Information
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NPI Number | 1508712191
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Entity Type | Organization
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Legal Business Name | NEW MILESTONE HOMES
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Dates
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Enumeration Date | 03/06/2026
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Last Update Date | 03/06/2026
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Provider Practice Location Address
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Address Line | 811 GLADSTONE ST
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City | DETROIT
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State | MI
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Zip | 48202-1709
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Country | US
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Telephone | 313-444-6594
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Fax |
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Provider Business Mailing Address
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Address Line | 22459 ARMSTRONG AVE
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City | BROWNSTOWN
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State | MI
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Zip | 48193-8210
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Country | US
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Telephone | 734-363-0683
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Fax |
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Authorized Official
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Title or Position | CEO/ADMINISTRATOR
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Name | JASON CHRISTOPHER CRUMP
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Credential |
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Telephone | 734-363-0683
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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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