# MADISON OAKS HOME CARE LLC

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

## Provider details

- **NPI number:** 1588347678
- **Authorized official:** AKILIA WELLS-JACKSON RN (OWNER)
- **Authorized official phone:** (313) 605-6080

## Contact information

- **Practice address:** 16150 JAMES COUZENS FWY, DETROIT, MI 48221-2822
- **Practice address phone:** (313) 626-0220
- **Mailing address:** 21601 CLOVERLAWN ST, OAK PARK, MI 48237-2630
- **Mailing address phone:** (313) 605-6080

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251C00000X | Developmentally Disabled Services Day Training Agency | — | NULL | — |
| 251E00000X | Home Health Agency | — | NULL | Yes |
| 251J00000X | Nursing Care Agency | — | NULL | — |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | — |
| 261QH0100X | Health Service Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 08/07/2023
- **Last updated:** 08/07/2023