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General NPI Number Information
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NPI Number | 1720827785
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Entity Type | Organization
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Legal Business Name | MARYS HELPING HAND LLC
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Dates
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Enumeration Date | 05/21/2024
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Last Update Date | 06/04/2024
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Provider Practice Location Address
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Address Line | 20542 LINDSAY ST
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City | DETROIT
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State | MI
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Zip | 48235-2122
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Country | US
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Telephone | 248-662-7567
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Fax |
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Provider Business Mailing Address
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Address Line | 16200 WINSTON ST
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City | DETROIT
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State | MI
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Zip | 48219-3610
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Country | US
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Telephone | 248-662-7567
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | AMINIKA STELL
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Credential |
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Telephone | 248-662-7567
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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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Taxonomy #2
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Taxonomy Code | 3104A0630X
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Taxonomy Name | Assisted Living Facility (Behavioral Disturbances)
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 3104A0625X
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Taxonomy Name | Assisted Living Facility (Mental Illness)
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License Number |
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License Number State |
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