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General NPI Number Information
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NPI Number | 1871157339
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Entity Type | Organization
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Legal Business Name | CONNECTED CARE SERVICES LLC
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Dates
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Enumeration Date | 04/30/2019
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Last Update Date | 03/25/2024
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Provider Practice Location Address
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Address Line | 634 HICKORY ST
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City | MILFORD
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State | MI
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Zip | 48381-1651
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Country | US
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Telephone | 248-714-6130
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Fax |
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Provider Business Mailing Address
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Address Line | 3600 BULLARD RD
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City | HARTLAND
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State | MI
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Zip | 48353-2012
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Country | US
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Telephone | 586-823-4069
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | SHERI GERMANE
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Credential |
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Telephone | 586-823-4069
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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