# ST AGATHA HOME CARE LLC

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

## Provider details

- **NPI number:** 1083131122
- **Authorized official:** MR. ADAM J DEVLIN (MANAGER)
- **Authorized official phone:** (248) 703-6201

## Contact information

- **Practice address:** 16715 SAVOIE ST, LIVONIA, MI 48154-3321
- **Practice address phone:** (734) 261-2248
- **Mailing address:** 30850 TELEGRAPH RD STE 250, BINGHAM FARMS, MI 48025-4579
- **Mailing address phone:** (248) 703-6201
- **Mailing address fax:** (248) 987-0490

## Taxonomy

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

## Other

- **Enumeration date:** 08/29/2017
- **Last updated:** 08/29/2017