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General NPI Number Information
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NPI Number | 1558232462
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Entity Type | Organization
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Legal Business Name | LOVE ENTIRELY LLC SENIOR SERVICES
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Dates
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Enumeration Date | 09/15/2025
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Last Update Date | 09/15/2025
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Provider Practice Location Address
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Address Line | 825 N WISNER ST
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City | JACKSON
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State | MI
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Zip | 49202-3167
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Country | US
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Telephone | 517-392-3704
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Fax |
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Provider Business Mailing Address
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Address Line | 825 N WISNER ST
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City | JACKSON
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State | MI
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Zip | 49202-3167
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Country | US
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Telephone | 517-392-3704
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | SIERRA GANT
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Credential | LLMSW
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Telephone | 517-392-3704
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 #2
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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