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General NPI Number Information
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NPI Number | 1902067580
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Entity Type | Organization
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Legal Business Name | RELIABILITY HOME HEALTH SERVICES,P.C.
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Dates
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Enumeration Date | 06/17/2008
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Last Update Date | 06/17/2008
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Provider Practice Location Address
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Address Line | 19111 W 10 MILE RD STE 112
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City | SOUTHFIELD
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State | MI
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Zip | 48075-2449
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Country | US
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Telephone | 248-304-9771
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Fax | 248-304-9772
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Provider Business Mailing Address
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Address Line | 19111 W 10 MILE RD STE 112
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City | SOUTHFIELD
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State | MI
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Zip | 48075-2449
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Country | US
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Telephone | 248-304-9771
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Fax | 248-304-9772
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MRS. RADIKA DESIKAN
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Credential | OTR
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Telephone | 248-304-9771
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number | 5501004937
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number | 5201002935
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License Number State | MI
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