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General NPI Number Information
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NPI Number | 1538313085
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Entity Type | Organization
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Legal Business Name | LOVEJOY SPECIAL NEEDS CENTER CORPORATION
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Dates
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Enumeration Date | 11/11/2008
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Last Update Date | 11/11/2008
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Provider Practice Location Address
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Address Line | 17101 DOLORES ST
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City | LIVONIA
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State | MI
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Zip | 48152-3856
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Country | US
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Telephone | 734-838-0843
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Fax | 734-838-0842
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Provider Business Mailing Address
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Address Line | 2820 WOODVIEW DR
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City | LANSING
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State | MI
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Zip | 48911-1727
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Country | US
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Telephone | 517-803-3655
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Fax | 517-346-7705
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Authorized Official
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Title or Position | PROGRAM DIRECTOR
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Name | HOPE M LOVELL
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Credential |
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Telephone | 517-803-3655
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 320600000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Residential Treatment Facility
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License Number | AS820294204
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License Number State | MI
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