# VIP HOME HELP CARE LLC

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

## Provider details

- **NPI number:** 1265722649
- **Authorized official:** MR. JON KENT ETHRIDGE II (PRESIDENT)
- **Authorized official phone:** (313) 268-5424

## Contact information

- **Practice address:** 17801 ROWE ST, DEROIT, MI 48205
- **Practice address phone:** (313) 268-5424
- **Mailing address:** 17801 ROWE ST, DETROIT, MI 48205-3125
- **Mailing address phone:** (313) 268-5424

## Taxonomy

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

## Other

- **Enumeration date:** 04/19/2011
- **Last updated:** 04/19/2011