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General NPI Number Information
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NPI Number | 1932963394
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Entity Type | Organization
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Legal Business Name | MV HOME CARE LLC
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Dates
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Enumeration Date | 02/07/2024
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Last Update Date | 02/07/2024
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Provider Practice Location Address
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Address Line | 500 CASCADE WEST PKWY SE STE 210
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City | GRAND RAPIDS
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State | MI
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Zip | 49546-2166
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Country | US
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Telephone | 616-320-6615
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Fax |
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Provider Business Mailing Address
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Address Line | 500 CASCADE WEST PKWY SE STE 210
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City | GRAND RAPIDS
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State | MI
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Zip | 49546-2166
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Country | US
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Telephone | 616-320-6615
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Fax |
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Authorized Official
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Title or Position | HOME CARE COORDINATOR
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Name | CZARRI MITCHELL
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Credential |
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Telephone | 616-320-6615
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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 |
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