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General NPI Number Information
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NPI Number | 1780465336
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Entity Type | Organization
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Legal Business Name | RONALD MCDONALD HOUSE CHARITIES DETROIT
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Dates
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Enumeration Date | 10/10/2023
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Last Update Date | 10/10/2023
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Provider Practice Location Address
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Address Line | 4707 SAINT ANTOINE ST STE 200
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City | DETROIT
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State | MI
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Zip | 48201-1427
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Country | US
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Telephone | 313-745-5909
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Fax |
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Provider Business Mailing Address
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Address Line | 4707 SAINT ANTOINE ST STE 200
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City | DETROIT
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State | MI
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Zip | 48201-1427
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Country | US
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Telephone | 313-745-5909
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | JENNIFER LITOMISKY
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Credential |
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Telephone | 313-415-1455
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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 | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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License Number |
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License Number State |
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