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NPI 1689282758

NPI 1689282758 : CARE CONTINUUM HOME HEALTH SERVICES LLC : TROY, MI

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General NPI Number Information
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    NPI Number           |    1689282758
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    Entity Type          |    Organization 
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    Legal Business Name  |    CARE CONTINUUM HOME HEALTH SERVICES LLC 
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Dates
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    Enumeration Date     |    07/15/2020
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    Last Update Date     |    07/15/2020
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Provider Practice Location Address
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    Address Line         |    671 E BIG BEAVER RD STE 207A 
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    City                 |    TROY
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    State                |    MI
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    Zip                  |    48083-1422
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    Country              |    US
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    Telephone            |    586-224-9354
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    Fax                  |    586-461-2090
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Provider Business Mailing Address
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    Address Line         |    671 E BIG BEAVER RD STE 207A 
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    City                 |    TROY
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    State                |    MI
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    Zip                  |    48083-1422
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    Country              |    US
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    Telephone            |    586-224-9354
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    Fax                  |    586-461-2090
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Authorized Official
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    Title or Position    |    ADMINISTRATOR
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    Name                 |    MR. BRENT  HALL 
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    Credential           |    
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    Telephone            |    586-224-9354
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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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