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General NPI Number Information
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NPI Number | 1821248360
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Entity Type | Organization
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Legal Business Name | PROCARE HOME HEALTH SERVICES INC.
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Dates
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Enumeration Date | 09/21/2008
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Last Update Date | 10/27/2015
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Provider Practice Location Address
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Address Line | 18535 W 12 MILE RD STE B
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City | LATHRUP VILLAGE
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State | MI
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Zip | 48076-2664
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Country | US
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Telephone | 248-948-9999
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Fax | 248-353-3275
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Provider Business Mailing Address
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Address Line | 18535 W 12 MILE RD STE B
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City | LATHRUP VILLAGE
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State | MI
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Zip | 48076-2664
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Country | US
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Telephone | 248-948-9999
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Fax | 248-353-3275
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | ARCHANA SHIRISHKAR
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Credential |
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Telephone | 248-948-9999
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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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