# PRIDE HOME HEALTH

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** PRIDE HOME HEALTH
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1609297753
- **Legal business name:** PRIDE HOME HEALTH
- **Authorized official:** MUZAFAR HUSSAIN PT (OFFICER)
- **Authorized official phone:** (248) 890-6058

## Contact information

- **Practice address:** 2101 CRYSTAL LAKE DR APT Q-311, SHELBY TOWNSHIP, MI 48316-4723
- **Practice address phone:** (248) 890-6058
- **Practice address fax:** (586) 991-5605
- **Mailing address:** 2101 CRYSTAL LAKE DR APT Q-311, SHELBY TOWNSHIP, MI 48316-4723
- **Mailing address phone:** (248) 890-6058
- **Mailing address fax:** (586) 991-5605

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 5501005207 | MI | Yes |

## Other

- **Enumeration date:** 12/16/2013
- **Last updated:** 12/29/2013
