# MICHIGAN 1 RESIDENTIAL HOME CARE

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

## Provider details

- **NPI number:** 1639864762
- **Authorized official:** MS. NATASHA HARRIS (OWNER)
- **Authorized official phone:** (586) 569-9242

## Contact information

- **Practice address:** 440 BURROUGHS ST STE 604, DETROIT, MI 48202-3473
- **Practice address phone:** (248) 697-2006
- **Mailing address:** 440 BURROUGHS ST STE 604, DETROIT, MI 48202-3473
- **Mailing address phone:** (248) 697-2006

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 04/05/2023
- **Last updated:** 04/05/2023