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General NPI Number Information
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NPI Number | 1538967260
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Entity Type | Organization
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Legal Business Name | HEAVEN SENT FROM ABOVE
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Dates
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Enumeration Date | 03/06/2025
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Last Update Date | 03/06/2025
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Provider Practice Location Address
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Address Line | 24501 W 7 MILE RD
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City | DETROIT
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State | MI
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Zip | 48219
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Country | US
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Telephone | 313-717-0660
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Fax |
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Provider Business Mailing Address
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Address Line | 25214 ANDOVER DR
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City | DEARBORN HEIGHTS
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State | MI
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Zip | 48125-1606
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Country | US
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Telephone | 313-717-0660
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | VALERIE WALKER
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Credential |
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Telephone | 313-717-0660
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174200000X
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Taxonomy Name | Meals Provider
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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 | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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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 | 251T00000X
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Taxonomy Name | PACE Provider Organization
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 251V00000X
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Taxonomy Name | Voluntary or Charitable Agency
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 261QC1500X
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Taxonomy Name | Community Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 261QA0600X
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Taxonomy Name | Adult Day Care Clinic/Center
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License Number |
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License Number State |
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