# VISITING HOME DOCTORS, PLLC

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

## Provider details

- **NPI number:** 1295916880
- **Authorized official:** LUIS A NINO MD (MEDICAL DOCTOR)
- **Authorized official phone:** (888) 785-9595

## Contact information

- **Practice address:** 17344 W 12 MILE RD, SUITE \#203B, SOUTHFIELD, MI 48076-2121
- **Practice address phone:** (888) 785-9595
- **Mailing address:** 17344 W 12 MILE RD, SUITE \#203B, SOUTHFIELD, MI 48076-2121
- **Mailing address phone:** (888) 785-9595

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | NULL | Yes |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 11/24/2007
- **Last updated:** 11/24/2007