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General NPI Number Information
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NPI Number | 1619997210
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Entity Type | Organization
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Legal Business Name | CHOICE HOME HEALTH CARE, INC
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Dates
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Enumeration Date | 07/20/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 15565 NORTHLAND DR, SUITE 403 E
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City | SOUTHFIELD
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State | MI
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Zip | 48075-5308
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Country | US
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Telephone | 248-423-3300
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Fax | 248-423-3301
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Provider Business Mailing Address
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Address Line | 15565 NORTHLAND DR, SUITE 403 E
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City | SOUTHFIELD
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State | MI
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Zip | 48075-5308
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Country | US
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Telephone | 248-423-3300
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Fax | 248-423-3301
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Authorized Official
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Title or Position | OWNER
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Name | MRS. JOANN BRAGGS
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Credential | BSN., RN
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Telephone | 248-423-3300
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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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