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General NPI Number Information
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NPI Number | 1770290363
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Entity Type | Organization
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Legal Business Name | HALO HOME CARE SERVICES, LLC.
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Dates
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Enumeration Date | 11/02/2022
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Last Update Date | 11/02/2022
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Provider Practice Location Address
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Address Line | 34 MYRTLE ST
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City | RIVER ROUGE
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State | MI
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Zip | 48218-1340
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Country | US
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Telephone | 248-702-7502
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Fax | 313-202-9029
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Provider Business Mailing Address
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Address Line | 5079 HARDWOODS DR
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City | WEST BLOOMFIELD
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State | MI
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Zip | 48323-2733
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Country | US
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Telephone | 248-390-0388
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Fax | 313-202-9029
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Authorized Official
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Title or Position | CEO
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Name | MRS. KRYSTAL CHANTELL MAGEE
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Credential |
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Telephone | 248-390-0388
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174200000X
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Taxonomy Name | Meals Provider
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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 | 177F00000X
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Taxonomy Name | Lodging Provider
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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 | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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Taxonomy #4
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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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