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General NPI Number Information
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NPI Number | 1710802236
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Entity Type | Organization
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Legal Business Name | AZARIA LEGACY HOME CARE, LLC
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Dates
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Enumeration Date | 08/12/2026
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Last Update Date | 08/12/2026
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Provider Practice Location Address
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Address Line | 33211 CHERYL ST
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City | CLINTON TWP
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State | MI
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Zip | 48035-3928
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Country | US
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Telephone | 586-383-7055
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Fax |
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Provider Business Mailing Address
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Address Line | 33211 CHERYL ST
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City | CLINTON TWP
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State | MI
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Zip | 48035-3928
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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 | OWNER/CEO
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Name | LATOYA MARBLE
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Credential |
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Telephone | 586-383-7055
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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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