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Organization
MICHIGAN PREMIER PRIVATE DUTY, LLC
Active
Organization
MICHIGAN PREMIER PRIVATE DUTY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JABEEN BUKHARI (ADMINISTRATOR)
(989) 345-0021
Entity
Organization
Contact information
Practice address
312 E HOUGHTON AVE, WEST BRANCH, MI 48661-1186
(989) 345-0021
(989) 345-0055
Mailing address
312 E HOUGHTON AVE, WEST BRANCH, MI 48661-1186
(989) 345-0021
(989) 345-0055
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
NULL
Other
Enumeration date
01/20/2016
Last updated
01/20/2016
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