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General NPI Number Information
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NPI Number | 1912183757
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Entity Type | Organization
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Legal Business Name | PERFECT PEACE HOME CARE, INC.
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Dates
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Enumeration Date | 01/10/2008
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Last Update Date | 01/10/2008
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Provider Practice Location Address
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Address Line | 1069 S DEACON ST
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City | DETROIT
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State | MI
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Zip | 48217-1610
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Country | US
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Telephone | 313-424-0316
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 334
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City | LINCOLN PARK
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State | MI
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Zip | 48146-0334
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Country | US
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Telephone | 313-424-0316
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | MRS. LESLIE ANN HILL
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Credential |
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Telephone | 313-424-0316
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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 | MI
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