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General NPI Number Information
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NPI Number | 1578171104
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Entity Type | Organization
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Legal Business Name | DREAM HOUSING OPPORTUNITIES LLC
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Dates
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Enumeration Date | 07/20/2020
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Last Update Date | 07/20/2020
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Provider Practice Location Address
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Address Line | 304 WETMORE ST
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City | HOWELL
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State | MI
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Zip | 48843-1559
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Country | US
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Telephone | 313-758-1696
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Fax | 586-204-0023
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Provider Business Mailing Address
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Address Line | PO BOX 20
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City | ROSEVILLE
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State | MI
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Zip | 48066-0020
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Country | US
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Telephone | 313-758-1696
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Fax | 586-204-0023
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Authorized Official
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Title or Position | OWNER
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Name | CIERRA D BELL
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Credential |
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Telephone | 131-375-8169
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 311ZA0620X
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Taxonomy Name | Adult Care Home Facility
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License Number |
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License Number State |
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