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General NPI Number Information
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NPI Number | 1609243831
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Entity Type | Organization
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Legal Business Name | FRIENDS OF THE FAMILY HOME HEALTH CARE MONROE LLC
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Dates
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Enumeration Date | 08/24/2015
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Last Update Date | 08/30/2022
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Provider Practice Location Address
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Address Line | 8257 MAYBERRY SQ S
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City | SYLVANIA
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State | OH
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Zip | 43560-9458
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Country | US
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Telephone | 567-455-5200
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Fax | 419-865-0495
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Provider Business Mailing Address
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Address Line | 1623 W STERNS RD
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City | TEMPERANCE
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State | MI
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Zip | 48182-1597
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Country | US
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Telephone | 734-586-0770
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Fax | 734-568-6037
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Authorized Official
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Title or Position | OWNER
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Name | REBEKAH E LAFONTAINE
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Credential |
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Telephone | 734-674-7179
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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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