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General NPI Number Information
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NPI Number | 1790387108
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Entity Type | Organization
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Legal Business Name | LYFECYCLE SOLUTIONS INCORPORATED
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Dates
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Enumeration Date | 11/10/2020
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Last Update Date | 11/20/2020
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Provider Practice Location Address
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Address Line | 46828 HOUGHTON DR
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City | SHELBY TOWNSHIP
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State | MI
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Zip | 48315-5264
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Country | US
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Telephone | 248-872-9376
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Fax |
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Provider Business Mailing Address
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Address Line | 7755 22 MILE RD #182445
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City | SHELBY TOWNSHIP
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State | MI
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Zip | 48318
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Country | US
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Telephone | 586-799-2666
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Fax |
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | CATHERINE MARIE BYRD
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Credential |
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Telephone | 586-799-2666
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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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 | 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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