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General NPI Number Information
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NPI Number | 1760257257
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Entity Type | Organization
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Legal Business Name | GREATER HEIGHTS AFC
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Dates
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Enumeration Date | 11/15/2023
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Last Update Date | 04/30/2025
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Provider Practice Location Address
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Address Line | 3916 OAKLAND DR
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City | KALAMAZOO
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State | MI
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Zip | 49008-2859
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Country | US
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Telephone | 269-873-4532
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Fax |
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Provider Business Mailing Address
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Address Line | 3916 OAKLAND DR
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City | KALAMAZOO
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State | MI
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Zip | 49008-2859
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Country | US
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Telephone | 269-873-4532
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | MR. ROLAND OLASUNKANMI AWOLOPE
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Credential | LICENSEE
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Telephone | 269-873-4532
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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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