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General NPI Number Information
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NPI Number | 1902695653
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Entity Type | Organization
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Legal Business Name | THE QUIET FLAME HOME CARE SERVICES LLC
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Dates
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Enumeration Date | 04/30/2025
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Last Update Date | 04/30/2025
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Provider Practice Location Address
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Address Line | 845 59TH ST SE
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City | KENTWOOD
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State | MI
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Zip | 49508-6293
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Country | US
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Telephone | 269-447-3630
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Fax |
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Provider Business Mailing Address
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Address Line | 845 59TH ST SE
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City | KENTWOOD
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State | MI
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Zip | 49508-6293
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Country | US
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Telephone | 269-447-3630
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MRS. KURTRICE SHARLYNN MANSARAY
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Credential | BA, CHW
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Telephone | 269-447-3630
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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