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General NPI Number Information
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NPI Number | 1942597224
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Entity Type | Organization
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Legal Business Name | VISIONS FOR YOUR COMMUNITY CARE HHC
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Dates
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Enumeration Date | 07/07/2011
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Last Update Date | 07/07/2011
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Provider Practice Location Address
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Address Line | 2365 N PERCH LAKE DR
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City | GAYLORD
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State | MI
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Zip | 49735
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Country | US
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Telephone | 989-370-3805
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1171
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City | GAYLORD
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State | MI
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Zip | 49734-5171
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Country | US
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Telephone | 989-370-3805
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Fax | 989-732-7470
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Authorized Official
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Title or Position | OWNER
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Name | MRS. VICKY LYNN GLASSER
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Credential | HOME HEALTH CARE AGE
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Telephone | 989-370-3805
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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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