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General NPI Number Information
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NPI Number | 1932031283
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Entity Type | Organization
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Legal Business Name | PRISCILLAS GROUP LLC
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Dates
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Enumeration Date | 06/01/2026
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Last Update Date | 06/01/2026
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Provider Practice Location Address
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Address Line | 21494 AVON LN
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City | SOUTHFIELD
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State | MI
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Zip | 48075-7104
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Country | US
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Telephone | 313-209-1041
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Fax |
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Provider Business Mailing Address
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Address Line | 21494 AVON LN
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City | SOUTHFIELD
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State | MI
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Zip | 48075-7104
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Country | US
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Telephone | 313-209-1041
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Fax |
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Authorized Official
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Title or Position | MANAGING OWNER
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Name | BRITTANY FOSTER
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Credential |
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Telephone | 313-209-1041
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 320700000X
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Taxonomy Name | Physical Disabilities Residential Treatment Facility
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 320800000X
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Taxonomy Name | Mental Illness Community Based Residential Treatment Facility
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 311ZA0620X
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Taxonomy Name | Adult Care Home Facility
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License Number |
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License Number State |
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