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General NPI Number Information
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NPI Number | 1821051673
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Entity Type | Organization
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Legal Business Name | FAMILY CARE CHOICE AND SERVICES INC.
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Dates
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Enumeration Date | 04/11/2006
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Last Update Date | 05/29/2012
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Provider Practice Location Address
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Address Line | 23800 W 10 MILE RD SUITE 108
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City | SOUTHFIELD
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State | MI
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Zip | 48034-3176
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Country | US
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Telephone | 248-355-2269
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Fax | 248-599-9663
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Provider Business Mailing Address
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Address Line | 23800 W 10 MILE RD SUITE 108
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City | SOUTHFIELD
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State | MI
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Zip | 48034-3176
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Country | US
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Telephone | 248-355-2269
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Fax | 248-599-9663
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Authorized Official
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Title or Position | PRESIDENT/ADMINISTRATOR
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Name | MISS GENEROSA FELIPE AGUSTIN
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Credential | R.N.
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Telephone | 248-355-2269
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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 | 237244
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License Number State | MI
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