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General NPI Number Information
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NPI Number | 1528955184
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Entity Type | Organization
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Legal Business Name | HOUSE OF LOVE AGENCY
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Dates
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Enumeration Date | 06/18/2025
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Last Update Date | 06/20/2025
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Provider Practice Location Address
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Address Line | 720 S MICHIGAN AVE
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City | SAGINAW
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State | MI
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Zip | 48602-1528
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Country | US
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Telephone | 989-401-1999
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Fax |
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Provider Business Mailing Address
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Address Line | 720 S MICHIGAN AVE
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City | SAGINAW
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State | MI
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Zip | 48602-1528
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Country | US
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Telephone | 989-401-1999
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | MRS. ARNEESHIA BREWER BREWER
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Credential |
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Telephone | 989-401-1999
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 172V00000X
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Taxonomy Name | Community Health Worker
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number |
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License Number State |
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