# UNIVERSAL PRIVATE DUTY NURSING SERVICES LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** PRIVATE DUTY HOME CARE
- **Organization subpart:** No

## Provider details

- **NPI number:** 1669807384
- **Authorized official:** MS. KATHY A BRAXTON RN (OWNER)
- **Authorized official phone:** (313) 424-3944

## Contact information

- **Practice address:** 20212 RYAN RD, DETROIT, MI 48234-1930
- **Practice address phone:** (313) 424-3944
- **Mailing address:** 20212 RYAN RD, DETROIT, MI 48234-1930
- **Mailing address phone:** (313) 424-3944

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251F00000X | Home Infusion Agency | — | MI | — |
| 253J00000X | Foster Care Agency | — | MI | — |
| 253Z00000X | In Home Supportive Care Agency | — | MI | Yes |

## Other

- **Enumeration date:** 09/12/2013
- **Last updated:** 09/12/2013