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General NPI Number Information
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NPI Number | 1871421602
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Entity Type | Organization
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Legal Business Name | MIKILY HOME CARE LLC
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Dates
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Enumeration Date | 05/12/2026
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Last Update Date | 05/12/2026
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Provider Practice Location Address
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Address Line | 460-480 FRANKLIN STREET 2ND FLOOR SUITE 204
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City | HOLBROOK
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State | MA
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Zip | 02343
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Country | US
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Telephone | 857-346-4191
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Fax | 781-556-1019
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Provider Business Mailing Address
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Address Line | 460-480 FRANKLIN STREET 2ND FLOOR SUITE 204
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City | HOLBROOK
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State | MA
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Zip | 02343
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Country | US
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Telephone | 857-346-4191
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Fax | 781-556-1019
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Authorized Official
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Title or Position | ADMINISTRATOR/OWNER
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Name | MIXISE BASTIEN
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Credential |
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Telephone | 857-346-4191
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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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