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NPI 1780250357

NPI 1780250357 : ADAMS & PARKS ENTERPRISES INC : BRIDGEPORT, MI

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General NPI Number Information
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    NPI Number           |    1780250357
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    Entity Type          |    Organization 
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    Legal Business Name  |    ADAMS & PARKS ENTERPRISES INC 
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Dates
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    Enumeration Date     |    06/03/2021
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    Last Update Date     |    07/28/2025
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Provider Practice Location Address
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    Address Line         |    4200 EMERALD DR 
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    City                 |    BRIDGEPORT
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    State                |    MI
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    Zip                  |    48722-9520
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    Country              |    US
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    Telephone            |    989-890-1659
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    Fax                  |    989-900-0746
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Provider Business Mailing Address
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    Address Line         |    4200 EMERALD DR 
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    City                 |    BRIDGEPORT
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    State                |    MI
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    Zip                  |    48722-9520
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    Country              |    US
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    Telephone            |    989-890-1659
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    Fax                  |    989-900-0746
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |     LAKISHA  PARKS 
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    Credential           |    
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    Telephone            |    989-890-1659
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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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