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General NPI Number Information
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NPI Number | 1962596957
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Entity Type | Organization
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Legal Business Name | OMNI HOME HEALTH CARE, INC.
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Dates
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Enumeration Date | 10/03/2006
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Last Update Date | 06/11/2015
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Provider Practice Location Address
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Address Line | 25932 DEQUINDRE RD SUITE A
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City | WARREN
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State | MI
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Zip | 48091-1071
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Country | US
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Telephone | 586-582-0188
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Fax | 586-582-0184
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Provider Business Mailing Address
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Address Line | 25932 DEQUINDRE RD SUITE A
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City | WARREN
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State | MI
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Zip | 48091-1071
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Country | US
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Telephone | 586-582-0188
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Fax | 586-582-0184
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Authorized Official
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Title or Position | DIRECTOR OF NURSING
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Name | MRS. LUDA BRAND
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Credential | RN BSN
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Telephone | 586-582-0188
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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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