# MIDWEST HOME CARE LLC

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

## Provider details

- **NPI number:** 1699003467
- **Authorized official:** FADY MANSOUR (CEO)
- **Authorized official phone:** (248) 906-2273

## Contact information

- **Practice address:** 30777 NORTHWESTERN HWY, SUITE 105, FARMINGTON HILLS, MI 48334-2549
- **Practice address phone:** (248) 906-2273
- **Practice address fax:** (248) 251-0249
- **Mailing address:** 30777 NORTHWESTERN HWY, SUITE 105, FARMINGTON HILLS, MI 48334-2549
- **Mailing address phone:** (248) 906-2273
- **Mailing address fax:** (248) 251-0249

## Taxonomy

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

## Other

- **Enumeration date:** 12/05/2009
- **Last updated:** 12/05/2009