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General NPI Number Information
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NPI Number | 1598026783
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Entity Type | Organization
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Legal Business Name | PLEASANTRY HOME CARE, LLC
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Dates
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Enumeration Date | 06/04/2012
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Last Update Date | 06/04/2012
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Provider Practice Location Address
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Address Line | 25341 PENNSYLVANIA AVE
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City | NOVI
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State | MI
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Zip | 48375-1784
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Country | US
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Telephone | 586-718-2868
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Fax | 248-692-0308
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Provider Business Mailing Address
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Address Line | 25341 PENNSYLVANIA AVE
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City | NOVI
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State | MI
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Zip | 48375-1784
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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 | OWNER/DIRECTOR
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Name | MRS. TAMIKA TAMAR LITTLETON
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Credential |
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Telephone | 586-718-2868
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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