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Contact Information

ANGELA KOPER, CST, BHA
4429 RABIDUE RD
TOWNSHIP OF CLYDE, MI48049-2926
 Phone: 810-334-4481
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Case Management

251B00000X
 

Health Educator

174H00000X
 

Home Health

251E00000X A4[11] Home Health Agency
 

In Home Supportive Care

253Z00000X
 

Orthopaedic Assistant

246ZX2200X
 

Public Health or Welfare

251K00000X 60 Public Health or Welfare Agency
Indicates primary specialty

NPI Profile & details for

NPI Number 1265890644
Entity Organization
Organization subpart 1 Not specified
Enumeration date 02/01/2016
Last updated 04/16/2016 - About 10 years ago
Identifiers
License # 93807
MI License # E7830A
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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