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General NPI Number Information
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NPI Number | 1700552296
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Entity Type | Organization
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Legal Business Name | GRS CARE MANAGEMENT, LLC
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Dates
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Enumeration Date | 08/17/2021
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Last Update Date | 08/17/2021
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Provider Practice Location Address
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Address Line | 4780 CLEAR LAKE RD
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City | NORTH BRANCH
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State | MI
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Zip | 48461-8929
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Country | US
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Telephone | 586-533-0360
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Fax |
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Provider Business Mailing Address
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Address Line | 2050 S CEDAR ST # 124
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City | IMLAY CITY
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State | MI
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Zip | 48444-9606
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Country | US
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Telephone | 586-533-0360
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Fax | 833-244-1841
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Authorized Official
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Title or Position | AGENT
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Name | DEBRA EMERY
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Credential | BS CCM CBIS
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Telephone | 586-533-0360
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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