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General NPI Number Information
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NPI Number | 1700675477
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Entity Type | Organization
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Legal Business Name | DETROIT POWER DETROIT COMMUNITY OUTREACH
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Dates
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Enumeration Date | 05/01/2025
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Last Update Date | 09/21/2025
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Provider Practice Location Address
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Address Line | 19403 W CHICAGO ST
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City | DETROIT
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State | MI
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Zip | 48228-1741
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Country | US
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Telephone | 313-349-5880
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Fax |
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Provider Business Mailing Address
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Address Line | 19403 W CHICAGO ST
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City | DETROIT
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State | MI
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Zip | 48228-1741
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MARVIN WALKER
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Credential |
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Telephone | 313-349-5880
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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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Taxonomy #2
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Taxonomy Code | 163WH0200X
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Taxonomy Name | Home Health Registered Nurse
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 311Z00000X
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Taxonomy Name | Custodial Care Facility
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License Number |
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License Number State |
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Taxonomy #4
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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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Taxonomy #5
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Taxonomy Code | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 311ZA0620X
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Taxonomy Name | Adult Care Home Facility
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License Number |
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License Number State |
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