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General NPI Number Information
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NPI Number | 1720327737
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Entity Type | Organization
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Legal Business Name | FROM THE HEART ADULT FOSTER CARE, LLC
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Dates
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Enumeration Date | 02/11/2013
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Last Update Date | 02/11/2013
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Provider Practice Location Address
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Address Line | 2880 2 MILE RD
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City | BAY CITY
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State | MI
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Zip | 48706-1244
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Country | US
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Telephone | 989-295-4168
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Fax |
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Provider Business Mailing Address
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Address Line | 2880 2 MILE RD
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City | BAY CITY
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State | MI
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Zip | 48706-1244
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Country | US
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Telephone | 989-295-4168
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | REBECKA ISBELL
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Credential |
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Telephone | 989-295-4168
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number |
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License Number State |
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