# A HOME NURSE, LLC

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

## Provider details

- **NPI number:** 1356452080
- **Authorized official:** MR. RYAN A WOOD (CHIEF EXECUTIVE OFFICER)
- **Authorized official phone:** (248) 886-1199

## Contact information

- **Practice address:** 1370 N OAKLAND BLVD, SUITE 120, WATERFORD, MI 48327-4525
- **Practice address phone:** (248) 886-1199
- **Practice address fax:** (248) 886-8141
- **Mailing address:** 1370 N OAKLAND BLVD, SUITE 120, WATERFORD, MI 48327-4525
- **Mailing address phone:** (248) 886-1199
- **Mailing address fax:** (248) 886-8141

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 08/31/2006
- **Last updated:** 08/22/2020