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General NPI Number Information
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NPI Number | 1588552178
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Entity Type | Organization
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Legal Business Name | MAK GROUP HOME INC
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Dates
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Enumeration Date | 06/24/2025
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Last Update Date | 06/24/2025
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Provider Practice Location Address
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Address Line | 65 E WILSON BRIDGE RD STE 302
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City | WORTHINGTON
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State | OH
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Zip | 43085-2704
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Country | US
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Telephone | 614-439-0493
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Fax |
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Provider Business Mailing Address
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Address Line | 65 E WILSON BRIDE RD SUITE 302
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City | WORTHINGTON
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State | OH
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Zip | 43085
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Country | US
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Telephone | 614-439-0493
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MISS FARAHIO KHADAR YUSUF
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Credential | HOME HEALTH CARE
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Telephone | 614-439-0493
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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