# PROACTIVE HOME CARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** PROACTIVE HOME CARE LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063108264
- **Authorized official:** MS. RABIA KHAN (CEO)
- **Authorized official phone:** (586) 785-0622

## Contact information

- **Practice address:** 52188 VAN DYKE AVE STE 201A, SHELBY TOWNSHIP, MI 48316-3569
- **Practice address phone:** (586) 991-3139
- **Practice address fax:** (586) 204-0295
- **Mailing address:** 1950 S ROCHESTER RD \# 1104, ROCHESTER HILLS, MI 48307-3534
- **Mailing address phone:** (586) 991-3139
- **Mailing address fax:** (586) 204-0295

## Taxonomy

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

## Other

- **Enumeration date:** 04/12/2023
- **Last updated:** 04/13/2023