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General NPI Number Information
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NPI Number | 1992160071
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Entity Type | Organization
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Legal Business Name | CONCIERGE HOME CARE SERVICES OF WEST MICHIGAN, LLC
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Dates
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Enumeration Date | 12/16/2015
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Last Update Date | 12/16/2015
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Provider Practice Location Address
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Address Line | 1360 56TH STREET SW
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City | WYOMING
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State | MI
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Zip | 49509
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Country | US
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Telephone | 616-780-6030
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Fax |
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Provider Business Mailing Address
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Address Line | 1360 56TH STREET SW
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City | WYOMING
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State | MI
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Zip | 49509
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Country | US
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Telephone | 616-780-6030
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Fax |
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Authorized Official
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Title or Position | FOUNDER/OWNER
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Name | MRS. CARMEN LOUISE TAYLOR-NWACHUKWU
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Credential | BSHA, M.S.
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Telephone | 616-780-6030
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251F00000X
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Taxonomy Name | Home Infusion Agency
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License Number |
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License Number State |
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Taxonomy #2
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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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