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General NPI Number Information
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NPI Number | 1689498578
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Entity Type | Organization
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Legal Business Name | KALI HOME HELP AND HEALTH SERVICES LLC
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Dates
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Enumeration Date | 11/08/2024
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Last Update Date | 11/27/2024
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Provider Practice Location Address
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Address Line | 13206 WESTLAKE CIR BLDG 13
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City | VAN BUREN TOWNSHIP
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State | MI
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Zip | 48111-6137
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Country | US
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Telephone | 248-705-0863
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Fax |
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Provider Business Mailing Address
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Address Line | 13206 WESTLAKE CIR BLDG 13
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City | VAN BUREN TOWNSHIP
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State | MI
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Zip | 48111-6137
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Country | US
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Telephone | 248-705-0863
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | CONSTANCE ELLEN BROWN
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Credential | LBSW, MBA
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Telephone | 734-612-6022
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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