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General NPI Number Information
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NPI Number | 1740002377
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Entity Type | Organization
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Legal Business Name | LIVING HOPE HOME CARE LLC
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Dates
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Enumeration Date | 10/25/2024
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Last Update Date | 10/25/2024
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Provider Practice Location Address
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Address Line | 15540 LAKE MICHIGAN DR.
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City | WEST OLIVE
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State | MI
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Zip | 49460
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Country | US
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Telephone | 616-706-6263
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Fax |
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Provider Business Mailing Address
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Address Line | 11671 FINKBEINER RD
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City | MIDDLEVILLE
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State | MI
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Zip | 49333
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Country | US
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Telephone | 616-706-6263
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Fax |
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Authorized Official
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Title or Position | DIRECTOR/CEO
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Name | LAURA ANN KOSTER
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Credential | RN
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Telephone | 616-706-6263
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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