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General NPI Number Information
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NPI Number | 1639852809
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Entity Type | Organization
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Legal Business Name | COMPLETE BEST CARE LLC
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Dates
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Enumeration Date | 08/14/2023
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Last Update Date | 08/14/2023
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Provider Practice Location Address
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Address Line | 18072 WOODINGHAM DR
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City | DETROIT
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State | MI
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Zip | 48221-2561
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Country | US
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Telephone | 313-828-3020
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Fax |
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Provider Business Mailing Address
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Address Line | 18072 WOODINGHAM DR
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City | DETROIT
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State | MI
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Zip | 48221-2561
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Country | US
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Telephone | 313-828-3020
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MISS JASMINE RENEE ANDREWS
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Credential | RN
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Telephone | 313-828-3020
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3104A0630X
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Taxonomy Name | Assisted Living Facility (Behavioral Disturbances)
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License Number |
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License Number State |
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