# COGNITIVE & PHYSICAL HOME CARE SERVICES, LLC

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

## Provider details

- **NPI number:** 1487092250
- **Authorized official:** RODERICA JAMES (PRESIDENT)
- **Authorized official phone:** (313) 801-3467

## Contact information

- **Practice address:** 24333 SOUTHFIELD RD, STE. 108, SOUTHFIELD, MI 48075-2822
- **Practice address phone:** (313) 595-1496
- **Practice address fax:** (313) 638-1827
- **Mailing address:** 24333 SOUTHFIELD RD, STE. 108, SOUTHFIELD, MI 48075-2822
- **Mailing address phone:** (313) 595-1496
- **Mailing address fax:** (313) 638-1827

## Taxonomy

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

## Other

- **Enumeration date:** 06/13/2013
- **Last updated:** 06/13/2013