# MANDELA HOME CARE

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Mandela Home Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1518765338
- **Authorized official:** IBRAHIM KOUROUMA OWNER (DIRECTOR)
- **Authorized official phone:** (734) 819-3101

## Contact information

- **Practice address:** 2605 BRAEBURN CIR, ANN ARBOR, MI 48108-2603
- **Practice address phone:** (734) 819-3101
- **Practice address fax:** (734) 527-6017
- **Mailing address:** 2605 BRAEBURN CIR, ANN ARBOR, MI 48108-2603
- **Mailing address phone:** (734) 819-3101
- **Mailing address fax:** (734) 527-6017

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | — |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 03/06/2025
- **Last updated:** 03/06/2025