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General NPI Number Information
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NPI Number | 1841662814
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Entity Type | Organization
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Legal Business Name | CARING HEARTS SUPPORTIVE LIVING
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Dates
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Enumeration Date | 10/29/2015
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Last Update Date | 10/29/2015
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Provider Practice Location Address
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Address Line | 27230 HARPER AVE
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City | SAINT CLAIR SHORES
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State | MI
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Zip | 48081-1918
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Country | US
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Telephone | 586-498-8990
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Fax |
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Provider Business Mailing Address
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Address Line | 27230 HARPER AVE.
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City | ST. CLAIR SHORES
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State | MI
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Zip | 48082
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Country | US
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Telephone | 586-498-8990
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | MS. DEBORAH MARIE SAMMUT
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Credential |
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Telephone | 586-498-8990
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3104A0630X
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Taxonomy Name | Assisted Living Facility (Behavioral Disturbances)
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License Number | 3104A0630X
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License Number State | MI
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