# MILLENNIUM HOME CARE SERVICES

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

## Provider details

- **NPI number:** 1518196146
- **Authorized official:** MISS TRENA RENEE PEATRY-JOHNSON (OWNER)
- **Authorized official phone:** (734) 320-7625

## Contact information

- **Practice address:** 7493 KIRKRIDGE ST, BELLEVILLE, MI 48111-1615
- **Practice address phone:** (734) 320-7625
- **Practice address fax:** (734) 391-7180
- **Mailing address:** PO BOX 445, BELLEVILLE, MI 48112-0445
- **Mailing address phone:** (734) 320-7625
- **Mailing address fax:** (734) 391-7180

## Taxonomy

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

## Other

- **Enumeration date:** 07/02/2009
- **Last updated:** 07/02/2009