# BEAUTIFUL MACK HOME CARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** BeautifulMack HomeCare LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1487438487
- **Authorized official:** KRISTINE MARIE MACK (CEO)
- **Authorized official phone:** (248) 923-5176

## Contact information

- **Practice address:** 23332 FARMINGTON RD \# 279I, FARMINGTON, MI 48336-9991
- **Practice address phone:** (248) 923-5176
- **Mailing address:** 23332 FARMINGTON RD \# 279, FARMINGTON, MI 48336-9991
- **Mailing address phone:** (248) 923-5176

## Taxonomy

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

## Other

- **Enumeration date:** 08/21/2023
- **Last updated:** 08/21/2023