ISA*00*          *00*          *ZZ*               *ZZ*               *250917*2009*^*00501*000000162*0*P*>~
GS*HS***250917*2009*1457998957*X*005010X279A1~
ST*270*000000162*005010X279A1~
BHT*0022*13*000000162*2509260*2009~
HL*1**20*1~
NM1*PR*2*PRIVATE PAY*****PI*22224~
HL*2*1*21*1~
NM1*1P*2*DEVOTION HOME HEALTH CARE, LLC*****XX*1457998957~
HL*3*2*22*0~
NM1*IL*1*CHARLES*MARSHALL BURGESS****MI*~
DMG*D8*19631226*M~
DTP*291*RD8*20250917-20251216~
EQ*42~
EQ*30~
SE*14*000000162~
GE*1*162~
IEA*1*000000162~

