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NPI 1972614675

NPI 1972614675 : MUNSON HOME SERVICES : TRAVERSE CITY, MI

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General NPI Number Information
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    NPI Number           |    1972614675
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    Entity Type          |    Organization 
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    Legal Business Name  |    MUNSON HOME SERVICES 
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Dates
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    Enumeration Date     |    08/31/2006
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    Last Update Date     |    04/22/2025
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Provider Practice Location Address
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    Address Line         |    550 MUNSON AVE 
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    City                 |    TRAVERSE CITY
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    State                |    MI
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    Zip                  |    49686-3580
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    Country              |    US
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    Telephone            |    231-935-6520
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    Fax                  |    866-380-0564
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Provider Business Mailing Address
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    Address Line         |    1105 6TH ST 
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    City                 |    TRAVERSE CITY
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    State                |    MI
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    Zip                  |    49684-2345
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    Country              |    US
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    Telephone            |    231-935-6520
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    Fax                  |    866-530-2107
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |    MS. SHARI L WILSON 
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    Credential           |    RN, MPH
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    Telephone            |    231-935-8432
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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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