# MTB HOMES, LLC

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

## Provider details

- **NPI number:** 1063224988
- **Authorized official:** JOANITA N MUTEBI (ADMINISTRATOR)
- **Authorized official phone:** (989) 402-8039

## Contact information

- **Practice address:** 6210 WALDON RD, CLARKSTON, MI 48346-2237
- **Practice address phone:** (989) 402-8039
- **Mailing address:** 15093 OAK KNOLL CT, STERLING HEIGHTS, MI 48312-5779
- **Mailing address phone:** (989) 402-8039

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | — | NULL | Yes |
| 343900000X | Non-emergency Medical Transport (VAN) | — | NULL | — |

## Other

- **Enumeration date:** 01/27/2025
- **Last updated:** 01/27/2025