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Organization
AUTUMN CREST HOME HEALTH CARE
Active
Organization
AUTUMN CREST HOME HEALTH CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AARON M WAGNER (CEO)
(313) 854-4137
Entity
Organization
Contact information
Practice address
18966 GREENLAWN ST, DETROIT, MI 48221-2113
(313) 854-4137
Mailing address
18966 GREENLAWN ST, DETROIT, MI 48221-2113
(313) 854-4137
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
NULL
Other
Enumeration date
07/26/2021
Last updated
07/26/2021
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