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NPI Code Detail

MEDICARE: AMANDAS PAYROLL SERVICES

MEDICARE: AMANDAS PAYROLL SERVICES
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1253Z00000XIn Home Supportive Care Agency

General Provider Information

NPI Number : 1174377089
Entity Type Code : Organization
Provider Name (Legal Business Name) : AMANDAS PAYROLL SERVICES
Provider Business Mailing Address
First Line : 1291 E NICHOLSON HILL RD
Second Line :
City : OSSINEKE
State : MI
Zip : 49766-9703
Country : US
Telephone Number : 989-657-4567
Fax Number :
Provider Business Practice Location Address
First Line : 1291 E NICHOLSON HILL RD
Second Line :
City : OSSINEKE
State : MI
Zip : 49766-9703
Country : US
Telephone Number : 989-657-4567
Fax Number :
Authorized Official
Title or Position : OWNER
Name : AMANDA ROZNOWSKI
Credential :
Telephone Number : 989-657-4567
Provider Enumeration Date : 04/16/2024
Last Update Date : 04/24/2024

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Directions to “AMANDAS PAYROLL SERVICES ” Practice Location

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