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Organization
ECSTATIC HOME CARE
Active
Organization
ECSTATIC HOME CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. THAI XUAN LE R.N. (PRINCIPAL)
(734) 945-9553
Entity
Organization
Contact information
Practice address
2200 FULLER COURT, SUITE 805B, ANN ARBOR, MI 48105
(734) 945-9553
Mailing address
2200 FULLER COURT, SUITE 805B, ANN ARBOR, MI 48105
(734) 945-9553
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
4704277024
MI
Other
Enumeration date
07/10/2013
Last updated
07/30/2013
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