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General NPI Number Information
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NPI Number | 1710097977
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Entity Type | Organization
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Legal Business Name | REVERENCE HOME HEALTH & HOSPICE, LLC
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Dates
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Enumeration Date | 08/30/2006
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Last Update Date | 02/08/2021
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Provider Practice Location Address
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Address Line | 5445 ALI DR. DEPARTMENT 800
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City | GRAND BLANC
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State | MI
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Zip | 48439-5177
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Country | US
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Telephone | 810-603-8600
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Fax | 810-762-4110
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Provider Business Mailing Address
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Address Line | 10 CADILLAC DR STE 400
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City | BRENTWOOD
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State | TN
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Zip | 37027-1001
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Country | US
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Telephone | 615-377-7022
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Fax | 615-373-4457
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Authorized Official
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Title or Position | SVP CHIEF LEGAL OFFICER
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Name | RUSSELL ADKINS
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Credential |
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Telephone | 615-309-5668
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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 | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State | MI
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