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General NPI Number Information
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NPI Number | 1720393697
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Entity Type | Organization
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Legal Business Name | LOVING HOME HEALTH CARE INC.
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Dates
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Enumeration Date | 08/16/2010
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Last Update Date | 08/16/2010
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Provider Practice Location Address
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Address Line | 16500 N PARK DR APT 1003
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City | SOUTHFIELD
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State | MI
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Zip | 48075-4750
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Country | US
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Telephone | 248-443-0323
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Fax | 248-443-2262
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Provider Business Mailing Address
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Address Line | 16500 N PARK DR APT 1003 P.O.BOX 351255 DETROIT, MI 48235
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City | SOUTHFIELD
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State | MI
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Zip | 48075-4750
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Country | US
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Telephone | 248-443-0323
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Fax | 248-443-2262
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Authorized Official
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Title or Position | HOME HEALTH SERVICES/PRESIDENT
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Name | MS. CASSANDRA CISERO
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Credential |
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Telephone | 313-213-1308
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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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