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General NPI Number Information
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NPI Number | 1881140580
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Entity Type | Organization
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Legal Business Name | DOWNRIVER HOME HEALTH SERVICES
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Dates
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Enumeration Date | 09/01/2016
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Last Update Date | 09/01/2016
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Provider Practice Location Address
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Address Line | 14703 ALLEN RD STE 220
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City | SOUTHGATE
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State | MI
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Zip | 48195-2594
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Country | US
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Telephone | 734-250-8459
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Fax | 734-250-8754
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Provider Business Mailing Address
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Address Line | 14703 ALLEN RD STE 220
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City | SOUTHGATE
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State | MI
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Zip | 48195
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Country | US
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Telephone | 734-250-8459
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Fax | 734-250-8754
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Authorized Official
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Title or Position | ADMINSTATOR
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Name | TARA RAE TUBB
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Credential | RN
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Telephone | 734-250-8459
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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 | MI
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