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General NPI Number Information
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NPI Number | 1710192323
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Entity Type | Organization
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Legal Business Name | RESIDENTIAL ALTERNATIVES, INC.
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Dates
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Enumeration Date | 05/14/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 9080 MILFORD RD
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City | HOLLY
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State | MI
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Zip | 48442-8663
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Country | US
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Telephone | 248-634-7206
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Fax | 248-634-4333
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Provider Business Mailing Address
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Address Line | PO BOX 709
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City | HIGHLAND
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State | MI
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Zip | 48357-0709
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Country | US
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Telephone | 248-634-7206
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Fax | 248-634-4333
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Authorized Official
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Title or Position | CHIEF EXECUTIVE
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Name | JOSEPHINE FEIJOO
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Credential |
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Telephone | 248-634-7206
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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License Number |
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License Number State |
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