# SA HOME CARE SERVICE LLC

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

## Provider details

- **NPI number:** 1225916646
- **Authorized official:** SULTAN AHMED (PRESIDENT)
- **Authorized official phone:** (313) 455-0614

## Contact information

- **Practice address:** 3419 OTIS AVE, WARREN, MI 48091-5502
- **Practice address phone:** (313) 455-0614
- **Mailing address:** 3419 OTIS AVE, WARREN, MI 48091-5502

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 08/25/2025
- **Last updated:** 08/25/2025