# EVANGELICAL HOME CARE,LLC

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

## Provider details

- **NPI number:** 1619599768
- **Authorized official:** MISS GENEROSA F AGUSTIN R.N. (ADMINISTRATOR)
- **Authorized official phone:** (248) 302-5194

## Contact information

- **Practice address:** 23800 W 10 MILE RD STE 108, SOUTHFIELD, MI 48033-3194
- **Practice address phone:** (248) 302-5194
- **Practice address fax:** (248) 559-9663
- **Mailing address:** 23800 W 10 MILE RD STE 108, SOUTHFIELD, MI 48033-3194
- **Mailing address phone:** (248) 302-5194
- **Mailing address fax:** (248) 559-9663

## Taxonomy

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

## Other

- **Enumeration date:** 05/12/2020
- **Last updated:** 05/19/2020