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Organization
MADAME PAULETTES REGAL SERVICES
Active
Organization
MADAME PAULETTES REGAL SERVICES
Active
Parent organization
MADAME PAULETTE'S REGAL SERVICES LLC.
Other names
Madame Paulette's Regal Services LLC Home Health Care Providers
Organization subpart
Yes
Provider details
NPI number
Legal business name
MADAME PAULETTE'S REGAL SERVICES LLC.
Authorized official
PAULETTE MCCLAIN (DIRECTOR OF OPERATION MANAGER)
(313) 854-8655
Entity
Organization
Contact information
Practice address
12630 KELLY RD, DETROIT, MI 48224-1502
(313) 854-8655
Mailing address
12630 KELLY RD, DETROIT, MI 48224-1502
(313) 854-8655
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
251E00000X
Home Health Agency
—
—
251J00000X
Nursing Care Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
252Y00000X
Early Intervention Provider Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
302R00000X
Health Maintenance Organization
—
—
347C00000X
Private Vehicle
—
—
Other
Enumeration date
06/05/2019
Last updated
07/03/2023
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