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NPI 1811068653

NPI 1811068653 : CONTINUUM CARE MANAGEMENT GROUP, LLC : ROCHESTER, MI

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General NPI Number Information
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    NPI Number           |    1811068653
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    Entity Type          |    Organization 
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    Legal Business Name  |    CONTINUUM CARE MANAGEMENT GROUP, LLC 
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Dates
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    Enumeration Date     |    11/13/2006
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    Last Update Date     |    02/27/2013
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Provider Practice Location Address
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    Address Line         |    155 ROMEO RD SUITE 200
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    City                 |    ROCHESTER
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    State                |    MI
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    Zip                  |    48307-1506
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    Country              |    US
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    Telephone            |    866-677-2440
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    Fax                  |    248-659-8807
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Provider Business Mailing Address
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    Address Line         |    155 ROMEO RD SUITE 200
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    City                 |    ROCHESTER
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    State                |    MI
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    Zip                  |    48307-1506
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    Country              |    US
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    Telephone            |    866-677-2440
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    Fax                  |    248-659-8807
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Authorized Official
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    Title or Position    |    CHIEF EXECUTIVE OFFICER
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    Name                 |    MR. PHILIP  SIMPSON 
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    Credential           |    
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    Telephone            |    866-677-2440
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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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