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General NPI Number Information
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NPI Number | 1578399374
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Entity Type | Organization
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Legal Business Name | AUBURN HEIGHTS SENIOR CARE
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Dates
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Enumeration Date | 09/10/2024
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Last Update Date | 09/10/2024
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Provider Practice Location Address
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Address Line | 110 N AUBURN RD
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City | AUBURN
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State | MI
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Zip | 48611-9412
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Country | US
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Telephone | 989-600-2132
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 174
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City | AUBURN
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State | MI
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Zip | 48611-0174
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | JOHANNA RUEDA
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Credential |
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Telephone | 989-600-2132
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number |
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License Number State |
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