# EXECUTIVE HOME HEALTH SERVICES, LLC

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

## Provider details

- **NPI number:** 1386692945
- **Authorized official:** MR. MOHAMMED MOFOZZOL HUSSAIN (OWNER/CHIEF EXECUTIVE OFFICER)
- **Authorized official phone:** (248) 967-9998

## Contact information

- **Practice address:** 25900 GREENFIELD RD, SUITE - 410, OAK PARK, MI 48237-1292
- **Practice address phone:** (248) 967-9998
- **Practice address fax:** (248) 460-4200
- **Mailing address:** 25900 GREENFIELD RD, SUITE - 410, OAK PARK, MI 48237-1292
- **Mailing address phone:** (248) 967-9998
- **Mailing address fax:** (248) 460-4200

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 237660 | MI | Yes |

## Other

- **Enumeration date:** 05/05/2006
- **Last updated:** 03/08/2012