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General NPI Number Information
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NPI Number | 1528143831
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Entity Type | Organization
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Legal Business Name | ROMEO NURSING CENTER INC
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Dates
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Enumeration Date | 10/26/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 250 DENBY ST
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City | ROMEO
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State | MI
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Zip | 48065-5228
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Country | US
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Telephone | 586-752-3571
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Fax | 586-336-9066
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Provider Business Mailing Address
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Address Line | 250 DENBY ST
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City | ROMEO
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State | MI
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Zip | 48065-5228
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Country | US
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Telephone | 586-752-3571
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Fax | 586-336-9066
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Authorized Official
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Title or Position | OWNER ADMINISTRATOR
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Name | MR. RONALD SCHOCKE
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Credential | OWNER ADMINISTRATOR
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Telephone | 586-752-3571
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 313M00000X
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Taxonomy Name | Nursing Facility/Intermediate Care Facility
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License Number | 504150
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License Number State | MI
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