# PATIENT HOME VISITING

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

## Provider details

- **NPI number:** 1710201207
- **Authorized official:** MR. ALAA ABOUTAAM (PRESIDENT)
- **Authorized official phone:** (313) 581-8585

## Contact information

- **Practice address:** 14716 W WARREN AVE, SUITE 100, DEARBORN, MI 48126-1347
- **Practice address phone:** (313) 581-8585
- **Mailing address:** 14716 W WARREN AVE, SUITE 100, DEARBORN, MI 48126-1347

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | NULL | Yes |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/26/2010
- **Last updated:** 05/13/2010