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1902448731 NPI number — SIMEON'S REST ADULT DAY PROGRAM

NPI Number: 1902448731
Health Care Provider/Practitioner: SIMEON'S REST ADULT DAY PROGRAM

Information about “1902448731” NPI (SIMEON'S REST ADULT DAY PROGRAM) exists in 1902448731 in HTML format HTML  |  1902448731 in plain Text format TXT  |  1902448731 in PDF (Portable Document Format) PDF  |  1902448731 in an XML format XML  formats.

NPI Number : 1902448731 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1902448731",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "SIMEON'S REST ADULT DAY PROGRAM",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "46500 N TERRITORIAL RD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "PLYMOUTH",
    "MailingAddressStateName": "MI",
    "MailingAddressPostalCode": "48170-3066",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "734-560-5872",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "46500 N TERRITORIAL RD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "PLYMOUTH",
    "PracticeLocationAddressStateName": "MI",
    "PracticeLocationAddressPostalCode": "48170-3066",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "734-207-9673",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "10/14/2019",
    "LastUpdateDate": "10/14/2019",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "HOLNESS",
    "AuthorizedOfficialFirstName": "GRACE",
    "AuthorizedOfficialMiddleName": "D.",
    "AuthorizedOfficialTitle": "DIRECTOR",
    "AuthorizedOfficialNamePrefix": "MRS.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "B/A OF SCIENCE",
    "AuthorizedOfficialTelephoneNumber": "734-560-5872",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "261QA0600X",
        "TaxonomyName": "Adult Day Care Clinic/Center",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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