# I CARE HOME PROVIDER INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** I CARE HOME PROVIDER
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023548898
- **Authorized official:** WALEED SADIK (PRESIDENT)
- **Authorized official phone:** (586) 707-1121

## Contact information

- **Practice address:** 29158 LONGVIEW AVE APT 12, WARREN, MI 48093-2441
- **Practice address phone:** (586) 707-1121
- **Mailing address:** 29158 LONGVIEW AVE APT 12, WARREN, MI 48093-2441
- **Mailing address phone:** (586) 707-1121

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 06/14/2017
- **Last updated:** 07/21/2022
