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General NPI Number Information
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NPI Number | 1548733512
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Entity Type | Organization
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Legal Business Name | RESPITE CARE SERVICES EEMC
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Dates
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Enumeration Date | 01/02/2019
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Last Update Date | 01/02/2019
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Provider Practice Location Address
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Address Line | 1701 LAUREL OAK DR
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City | FLINT
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State | MI
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Zip | 48507-2210
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Country | US
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Telephone | 810-233-0621
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Fax |
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Provider Business Mailing Address
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Address Line | 1701 LAUREL OAK DR
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City | FLINT
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State | MI
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Zip | 48507-2210
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Country | US
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Telephone | 810-233-0621
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Fax |
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Authorized Official
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Title or Position | HOME CARE ADMINISTRATION
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Name | MS. SONYA DANIELLE WATERS
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Credential | MHMA
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Telephone | 810-233-0621
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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 | 405300000X
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Taxonomy Name | Prevention Professional
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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 | 174H00000X
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Taxonomy Name | Health Educator
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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 | 175T00000X
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Taxonomy Name | Peer Specialist
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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 | 372500000X
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Taxonomy Name | Chore Provider
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 372600000X
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Taxonomy Name | Adult Companion
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 3747A0650X
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Taxonomy Name | Attendant Care Provider
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License Number |
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License Number State |
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Taxonomy #9
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Taxonomy Code | 376K00000X
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Taxonomy Name | Nurse's Aide
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License Number |
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License Number State |
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Taxonomy #10
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Taxonomy Code | 374U00000X
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Taxonomy Name | Home Health Aide
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License Number |
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License Number State |
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