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General NPI Number Information
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NPI Number | 1619866514
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Entity Type | Organization
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Legal Business Name | LONIAS WORLD CARE CENTER
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Dates
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Enumeration Date | 07/02/2025
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Last Update Date | 07/02/2025
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Provider Practice Location Address
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Address Line | 3305 E PARIS AVE SE
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City | KENTWOOD
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State | MI
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Zip | 49512-2961
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Country | US
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Telephone | 616-289-1997
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Fax |
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Provider Business Mailing Address
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Address Line | 3305 E PARIS AVE SE
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City | KENTWOOD
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State | MI
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Zip | 49512-2961
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Country | US
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Telephone | 616-289-1997
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Fax |
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Authorized Official
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Title or Position | GENERAL MANAGER
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Name | TANYA R HENRY
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Credential |
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Telephone | 616-589-3563
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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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