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General NPI Number Information
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NPI Number | 1902051907
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Entity Type | Organization
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Legal Business Name | THE EILAND'S ASSISTED LIVING II
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Dates
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Enumeration Date | 11/18/2008
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Last Update Date | 11/26/2008
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Provider Practice Location Address
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Address Line | 17670 NEW HAMPSHIRE DR
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City | SOUTHFIELD
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State | MI
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Zip | 48075-2729
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Country | US
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Telephone | 248-552-1163
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Fax |
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Provider Business Mailing Address
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Address Line | 17670 NEW HAMPSHIRE DR
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City | SOUTHFIELD
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State | MI
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Zip | 48075-2729
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Country | US
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Telephone | 248-552-1163
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MRS. APRIL DENEEN EILAND
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Credential | R.N.
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Telephone | 248-552-1163
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number | AS630296738
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License Number State | MI
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