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General NPI Number Information
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NPI Number | 1841262821
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Entity Type | Organization
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Legal Business Name | NORTHERN HOME CARE INC
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Dates
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Enumeration Date | 02/03/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 230 N CHARLES ST
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City | WHITE CLOUD
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State | MI
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Zip | 49349-8600
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Country | US
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Telephone | 231-689-0096
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Fax | 231-689-0044
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Provider Business Mailing Address
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Address Line | 230 N CHARLES ST PO BOX 462
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City | WHITE CLOUD
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State | MI
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Zip | 49349-8600
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Country | US
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Telephone | 231-689-0096
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Fax | 231-689-0044
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MRS. KATHLEEN C AUSTIN
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Credential | RN
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Telephone | 231-689-0096
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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 | 385555
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License Number State | MI
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