# HOME MDS L.L.C

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

## Provider details

- **NPI number:** 1679739122
- **Authorized official:** DR. FANNY AGUIRRE DELA CRUZ M.D. (ADMINISTRATIVE DIRECTOR)
- **Authorized official phone:** (734) 744-8560

## Contact information

- **Practice address:** 17880 FARMINGTON RD, UNIT B, LIVONIA, MI 48152-3104
- **Practice address phone:** (734) 744-8560
- **Practice address fax:** (734) 744-8563
- **Mailing address:** 17880 FARMINGTON RD, UNIT B, LIVONIA, MI 48152-3104
- **Mailing address phone:** (734) 744-8560
- **Mailing address fax:** (734) 744-8563

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | 36977 | MI | Yes |

## Other

- **Enumeration date:** 08/04/2008
- **Last updated:** 08/06/2014