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General NPI Number Information
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NPI Number | 1881581932
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Entity Type | Organization
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Legal Business Name | YOUR TRUSTED HOME CARE PLUS
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Dates
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Enumeration Date | 06/20/2025
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Last Update Date | 06/20/2025
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Provider Practice Location Address
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Address Line | 4034 KNIGHTSBRIDGE LN
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City | JACKSON
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State | MI
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Zip | 49201-7107
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Country | US
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Telephone | 231-683-6628
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 355
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City | JACKSON
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State | MI
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Zip | 49204-0355
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Country | US
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Telephone | 231-683-6628
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MS. LISA ANNETTE STEWART
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Credential |
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Telephone | 231-683-6628
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 372500000X
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Taxonomy Name | Chore Provider
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License Number |
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License Number State |
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