# HARLEYS HART HOME HEALTHCARE LLC

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

## Provider details

- **NPI number:** 1285456418
- **Authorized official:** TATIANNA TYE (OWNER)
- **Authorized official phone:** (248) 929-2930

## Contact information

- **Practice address:** 17520 W 12 MILE RD STE 109, SOUTHFIELD, MI 48076-1907
- **Practice address phone:** (248) 929-2930
- **Mailing address:** 25535 CATALINA ST, SOUTHFIELD, MI 48075-1774
- **Mailing address phone:** (248) 929-2930

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |
| 385H00000X | Respite Care | — | NULL | — |

## Other

- **Enumeration date:** 10/29/2024
- **Last updated:** 10/29/2024