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General NPI Number Information
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NPI Number | 1639521123
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Entity Type | Organization
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Legal Business Name | GARCIA'S H.H.C. LLC
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Dates
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Enumeration Date | 07/07/2016
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Last Update Date | 01/20/2022
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Provider Practice Location Address
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Address Line | 4000 PORTAGE ST STE 113
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City | KALAMAZOO
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State | MI
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Zip | 49001-4962
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Country | US
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Telephone | 269-759-4823
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Fax |
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Provider Business Mailing Address
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Address Line | 110 S BENTON CENTER RD
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City | BENTON HARBOR
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State | MI
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Zip | 49022-9782
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Country | US
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Telephone | 269-759-4823
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MRS. JUANITA G DEFAY
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Credential | RN BSN
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Telephone | 269-759-4823
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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 | 4704191219
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License Number State | MI
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Taxonomy #2
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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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