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Organization
CHANDLER HOME SUPPORT LLC
Active
Organization
CHANDLER HOME SUPPORT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CHANEL SIMONE CHANDLER (OWNER/AUTHORIZED OFFICIAL)
(313) 607-8083
Entity
Organization
Contact information
Practice address
15263 PARK GROVE ST, DETROIT, MI 48205-3042
(313) 607-8083
Mailing address
15263 PARK GROVE ST, DETROIT, MI 48205-3042
(313) 607-8083
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
NULL
Other
Enumeration date
09/07/2026
Last updated
09/07/2026
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