# PROMED HOME HEALTH CARE LLC

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

## Provider details

- **NPI number:** 1558519702
- **Authorized official:** DIPTI DIVE P.T. (PRESIDENT)
- **Authorized official phone:** (248) 629-4100

## Contact information

- **Practice address:** 330 E 12 MILE RD, MADISON HEIGHTS, MI 48071-2531
- **Practice address phone:** (248) 629-4100
- **Practice address fax:** (248) 629-4101
- **Mailing address:** 330 E 12 MILE RD, MADISON HEIGHTS, MI 48071-2531
- **Mailing address phone:** (248) 629-4100
- **Mailing address fax:** (248) 629-4101

## Taxonomy

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

## Other

- **Enumeration date:** 08/29/2008
- **Last updated:** 04/19/2013