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General NPI Number Information
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NPI Number | 1811267792
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Entity Type | Organization
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Legal Business Name | CYPRESS HOME CARE, INC.
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Dates
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Enumeration Date | 01/09/2012
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Last Update Date | 01/09/2012
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Provider Practice Location Address
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Address Line | 808 W LAKE LANSING RD STE 203
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City | EAST LANSING
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State | MI
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Zip | 48823-6301
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Country | US
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Telephone | 517-485-6100
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Fax | 517-485-6300
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Provider Business Mailing Address
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Address Line | 808 W LAKE LANSING RD STE 203
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City | EAST LANSING
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State | MI
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Zip | 48823-6301
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Country | US
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Telephone | 517-485-6100
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Fax | 517-485-6300
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Authorized Official
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Title or Position | PRESIDENT / CEO
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Name | MR. JEFFREY GEORGE CHIODI
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Credential |
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Telephone | 517-485-6100
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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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