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General NPI Number Information
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NPI Number | 1871731570
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Entity Type | Organization
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Legal Business Name | UNITY HOMES, INC.
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Dates
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Enumeration Date | 02/03/2009
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Last Update Date | 02/03/2009
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Provider Practice Location Address
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Address Line | 14467 TROESTER ST
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City | DETROIT
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State | MI
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Zip | 48205-3545
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Country | US
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Telephone | 248-789-8692
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Fax | 313-458-7102
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Provider Business Mailing Address
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Address Line | 23220 MANISTEE ST
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City | OAK PARK
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State | MI
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Zip | 48237-2294
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Country | US
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Telephone | 248-789-8692
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Fax | 313-458-7102
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | MRS. WILLIE ANN BRYANT
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Credential |
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Telephone | 248-542-2627
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 320900000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
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License Number | AS820284208
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 320900000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
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License Number | AS820268621
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License Number State | MI
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Taxonomy #3
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Taxonomy Code | 320900000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
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License Number | AS820264458
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License Number State | MI
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