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Organization

GRAND AMERICAN HOME CARE, INC.

Active
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Organization

GRAND AMERICAN HOME CARE, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. AUGUSTINE R DOMINGO JR. (PRESIDENT)
(313) 292-3529
Entity
Organization

Contact information

Practice address
21649 GODDARD RD, SUITE B-125, TAYLOR, MI 48180-4299
(313) 292-3529
(313) 292-3787
Mailing address
21649 GODDARD RD, SUITE B-125, TAYLOR, MI 48180-4299
(313) 292-3529
(313) 292-3787

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
MI

Other

Enumeration date
11/17/2007
Last updated
11/17/2007
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