# ECSTATIC HOME CARE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053752717
- **Authorized official:** MS. THAI XUAN LE R.N. (PRINCIPAL)
- **Authorized official phone:** (734) 945-9553

## Contact information

- **Practice address:** 2200 FULLER COURT, SUITE 805B, ANN ARBOR, MI 48105
- **Practice address phone:** (734) 945-9553
- **Mailing address:** 2200 FULLER COURT, SUITE 805B, ANN ARBOR, MI 48105
- **Mailing address phone:** (734) 945-9553

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 4704277024 | MI | Yes |

## Other

- **Enumeration date:** 07/10/2013
- **Last updated:** 07/30/2013