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General NPI Number Information
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NPI Number | 1871708404
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Entity Type | Organization
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Legal Business Name | CHOICE CARE SERVICES, INC.
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Dates
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Enumeration Date | 05/14/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 4867 AUDUBON RD
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City | DETROIT
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State | MI
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Zip | 48224-2754
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Country | US
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Telephone | 313-510-1625
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Fax | 313-885-7790
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Provider Business Mailing Address
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Address Line | 2711 E JEFFERSON AVE 201
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City | DETROIT
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State | MI
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Zip | 48207-4105
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Country | US
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Telephone | 313-510-1625
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Fax | 313-885-7790
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Authorized Official
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Title or Position | CEO
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Name | MS. TASSIE S. MCDANIELS
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Credential | RN
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Telephone | 313-510-1625
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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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