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General NPI Number Information
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NPI Number | 1891367637
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Entity Type | Organization
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Legal Business Name | DESIGN HOME HEALTHCARE L.L.C
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Dates
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Enumeration Date | 07/12/2021
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Last Update Date | 07/12/2021
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Provider Practice Location Address
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Address Line | 615 S SAGINAW ST
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City | FLINT
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State | MI
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Zip | 48502-1505
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Country | US
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Telephone | 810-869-8112
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Fax |
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Provider Business Mailing Address
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Address Line | 6617 DUPONT ST
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City | FLINT
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State | MI
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Zip | 48505-2073
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Country | US
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Telephone | 810-785-9939
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. LISA LANG
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Credential | E.D.S
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Telephone | 810-785-9939
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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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