# BERTHA HOME CARE

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

## Provider details

- **NPI number:** 1124814793
- **Authorized official:** MR. MICHAEL O TAIT (GENERAL MANAGER)
- **Authorized official phone:** (248) 667-6730

## Contact information

- **Practice address:** 24255 LATHRUP BLVD, SOUTHFIELD, MI 48075-2838
- **Practice address phone:** (248) 667-6730
- **Mailing address:** 29488 WOODWARD AVE \# 186, ROYAL OAK, MI 48073-0903
- **Mailing address phone:** (248) 667-6730

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 04/18/2025
- **Last updated:** 04/18/2025