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General NPI Number Information
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NPI Number | 1518811504
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Entity Type | Organization
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Legal Business Name | OAKRIDGE SPECIALIZED RESIDENTIAL
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Dates
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Enumeration Date | 02/25/2026
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Last Update Date | 02/25/2026
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Provider Practice Location Address
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Address Line | 2444 OAKRIDGE DR
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City | FLINT
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State | MI
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Zip | 48507-6211
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Country | US
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Telephone | 833-478-9464
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Fax | 810-462-1093
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Provider Business Mailing Address
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Address Line | 2444 OAKRIDGE DR
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City | FLINT
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State | MI
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Zip | 48507-6211
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Country | US
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Telephone | 833-478-9464
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Fax | 810-462-1093
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Authorized Official
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Title or Position | HR MANAGER
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Name | BREANNA MOSLANDER
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Credential |
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Telephone | 833-478-9464
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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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