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General NPI Number Information
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NPI Number | 1972476307
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Entity Type | Organization
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Legal Business Name | MICHELLE ADULT HOME CARE PROVIDERS LLC
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Dates
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Enumeration Date | 09/23/2025
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Last Update Date | 09/23/2025
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Provider Practice Location Address
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Address Line | 2635 GUNCKEL BLVD
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City | TOLEDO
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State | OH
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Zip | 43606-3724
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Country | US
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Telephone | 419-359-8807
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Fax | 419-474-5199
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Provider Business Mailing Address
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Address Line | 2635 GUNCKEL BLVD
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City | TOLEDO
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State | OH
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Zip | 43606-3724
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Country | US
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Telephone | 419-359-8807
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Fax | 419-474-5199
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Authorized Official
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Title or Position | PROVIDER
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Name | MRS. MICHELLE D SIMPSON-WELLS
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Credential |
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Telephone | 419-359-8807
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 374U00000X
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Taxonomy Name | Home Health Aide
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License Number |
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License Number State |
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