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General NPI Number Information
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NPI Number | 1932043676
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Entity Type | Organization
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Legal Business Name | RISE ROYALTY HOME CARE AGENCY
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Dates
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Enumeration Date | 04/15/2026
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Last Update Date | 04/15/2026
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Provider Practice Location Address
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Address Line | 2222 W GRAND RIVER AVE STE A
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City | OKEMOS
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State | MI
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Zip | 48864-1604
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Country | US
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Telephone | 520-541-6541
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Fax |
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Provider Business Mailing Address
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Address Line | 2222 W GRAND RIVER AVE
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City | OKEMOS
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State | MI
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Zip | 48864-1604
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Country | US
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Telephone | 520-541-6541
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | JAZMYN HOBSON
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Credential |
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Telephone | 313-819-3452
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174200000X
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Taxonomy Name | Meals Provider
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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 | 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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Taxonomy #3
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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 |
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