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NPI 1972113942

NPI 1972113942 : REM SENIOR SERVICES CORP : LIVONIA, MI

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General NPI Number Information
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    NPI Number           |    1972113942
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    Entity Type          |    Organization 
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    Legal Business Name  |    REM SENIOR SERVICES CORP 
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Dates
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    Enumeration Date     |    08/05/2020
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    Last Update Date     |    08/05/2020
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Provider Practice Location Address
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    Address Line         |    16013 MIDDLEBELT RD 
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    City                 |    LIVONIA
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    State                |    MI
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    Zip                  |    48154-3313
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    Country              |    US
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    Telephone            |    734-525-5300
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    Fax                  |    734-525-8439
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Provider Business Mailing Address
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    Address Line         |    16013 MIDDLEBELT RD 
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    City                 |    LIVONIA
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    State                |    MI
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    Zip                  |    48154-3313
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    Country              |    US
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    Telephone            |    734-525-5300
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    Fax                  |    734-525-8439
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |     SETH  MICHAEL 
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    Credential           |    
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    Telephone            |    734-525-5300
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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