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General NPI Number Information
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NPI Number | 1912676719
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Entity Type | Organization
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Legal Business Name | PLEASANT LIFE HOME CARE SERVICES, LLC
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Dates
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Enumeration Date | 09/07/2021
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Last Update Date | 10/01/2021
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Provider Practice Location Address
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Address Line | 2785 E GRAND BLVD
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City | DETROIT
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State | MI
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Zip | 48211-2003
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Country | US
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Telephone | 313-536-8878
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Fax | 313-536-8879
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Provider Business Mailing Address
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Address Line | 20418 LOCHMOOR ST
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City | HARPER WOODS
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State | MI
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Zip | 48225-1750
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Country | US
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Telephone | 248-554-7665
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Fax | 313-536-8879
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Authorized Official
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Title or Position | CNA/HHA
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Name | STEPHANIE F EDWARDS
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Credential | CERT
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Telephone | 248-554-7665
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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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