# COMMUNITY HOME CARE LLC

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

## Provider details

- **NPI number:** 1679389340
- **Authorized official:** RIAM TALIB (ADMINISTRATOR)
- **Authorized official phone:** (208) 761-9439

## Contact information

- **Practice address:** 25740 EUREKA DR, WARREN, MI 48091-1426
- **Practice address phone:** (208) 761-9439
- **Mailing address:** 25740 EUREKA DR, WARREN, MI 48091-1426
- **Mailing address phone:** (208) 761-9439

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | — |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 12/09/2024
- **Last updated:** 12/10/2024