# 112 GROUP

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Real Time Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1447773593
- **Authorized official:** MFON UMANA-ODEI (OPERATIONS MANAGER)
- **Authorized official phone:** (586) 239-0688

## Contact information

- **Practice address:** 45034 RIVERWOODS DR, MACOMB, MI 48044-5780
- **Practice address phone:** (586) 239-0688
- **Practice address fax:** (586) 239-0688
- **Mailing address:** 42211 GARFIELD RD STE 231, CLINTON TOWNSHIP, MI 48038-1648
- **Mailing address phone:** (586) 239-0688
- **Mailing address fax:** (586) 239-0689

## Taxonomy

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

## Other

- **Enumeration date:** 07/20/2017
- **Last updated:** 07/20/2017