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Organization
EVANGELICAL HOME CARE,LLC
Active
Organization
EVANGELICAL HOME CARE,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS GENEROSA F AGUSTIN R.N. (ADMINISTRATOR)
(248) 302-5194
Entity
Organization
Contact information
Practice address
23800 W 10 MILE RD STE 108, SOUTHFIELD, MI 48033-3194
(248) 302-5194
(248) 559-9663
Mailing address
23800 W 10 MILE RD STE 108, SOUTHFIELD, MI 48033-3194
(248) 302-5194
(248) 559-9663
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
NULL
Other
Enumeration date
05/12/2020
Last updated
05/19/2020
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