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General NPI Number Information
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NPI Number | 1801352984
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Entity Type | Organization
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Legal Business Name | ASSISTED CARE SOLUTION INC.
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Dates
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Enumeration Date | 02/14/2019
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Last Update Date | 06/14/2021
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Provider Practice Location Address
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Address Line | 19976 WARD ST
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City | DETROIT
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State | MI
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Zip | 48235-1139
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Country | US
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Telephone | 313-414-6166
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Fax |
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Provider Business Mailing Address
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Address Line | 162 BELLE VILLA BLVD
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City | BELLEVILLE
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State | MI
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Zip | 48111-4906
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Country | US
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Telephone | 313-414-6166
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | LAKISHA SHONTA HUMBER
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Credential |
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Telephone | 313-414-6166
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 347C00000X
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Taxonomy Name | Private Vehicle
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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 | 172A00000X
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Taxonomy Name | Driver
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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 | 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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Taxonomy #4
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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 #5
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Taxonomy Code | 320800000X
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Taxonomy Name | Mental Illness Community Based Residential Treatment Facility
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License Number |
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License Number State |
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