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General NPI Number Information
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NPI Number | 1700768835
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Entity Type | Organization
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Legal Business Name | ENTYRE CARE MICHIGAN LLC
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Dates
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Enumeration Date | 07/21/2025
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Last Update Date | 11/12/2025
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Provider Practice Location Address
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Address Line | 2937 E GRAND BLVD STE 503
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City | DETROIT
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State | MI
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Zip | 48202-3149
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Country | US
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Telephone | 313-285-1225
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Fax | 844-594-1307
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Provider Business Mailing Address
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Address Line | 2937 E GRAND BLVD # 503
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City | DETROIT
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State | MI
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Zip | 48202-3149
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Country | US
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Telephone | 313-285-1225
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Fax | 844-594-1307
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Authorized Official
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Title or Position | CHIEF OPERATING OFFICER
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Name | MR. BENEDIKT REIGER
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Credential |
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Telephone | 617-320-2253
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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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Taxonomy #2
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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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