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General NPI Number Information
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NPI Number | 1518361401
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Entity Type | Organization
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Legal Business Name | WEST MICHIGAN HOME CARE, INC
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Dates
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Enumeration Date | 10/21/2014
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Last Update Date | 10/21/2014
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Provider Practice Location Address
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Address Line | 7953 LOVE RD
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City | BENZONIA
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State | MI
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Zip | 49616
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Country | US
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Telephone | 231-882-9813
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Fax | 231-882-9835
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Provider Business Mailing Address
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Address Line | 8417 LOVE RD
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City | BENZONIA
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State | MI
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Zip | 49616
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Country | US
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Telephone | 231-920-5340
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Fax | 231-882-9835
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | MRS. JESSICA ANN WORM
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Credential | R.N.
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Telephone | 231-920-5340
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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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