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General NPI Number Information
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NPI Number | 1578241394
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Entity Type | Organization
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Legal Business Name | PEACEHOME MICHIGAN INC
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Dates
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Enumeration Date | 07/11/2023
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Last Update Date | 06/29/2025
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Provider Practice Location Address
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Address Line | 29631 WINTER CT
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City | GARDEN CITY
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State | MI
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Zip | 48135-2685
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Country | US
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Telephone | 734-237-4148
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Fax |
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Provider Business Mailing Address
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Address Line | 28755 SAN CARLOS ST
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City | SOUTHFIELD
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State | MI
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Zip | 48076-2378
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Country | US
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Telephone | 248-508-2662
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MR. CASMIR NNAJI
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Credential | PRESIDENT
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Telephone | 248-508-2662
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3104A0630X
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Taxonomy Name | Assisted Living Facility (Behavioral Disturbances)
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License Number |
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License Number State |
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