# AH WEST BLOOMFIELD SUBTENANT, LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1750909503
- **Authorized official:** MALLORY MOCK (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (248) 538-5283

## Contact information

- **Practice address:** 5859 W MAPLE RD, WEST BLOOMFIELD, MI 48322-2279
- **Practice address phone:** (248) 538-5283
- **Practice address fax:** (248) 538-5290
- **Mailing address:** 5859 W MAPLE RD, WEST BLOOMFIELD, MI 48322-2279
- **Mailing address phone:** (248) 538-5283
- **Mailing address fax:** (248) 538-5290

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332U00000X | Home Delivered Meals | — | NULL | Yes |
| 376J00000X | Homemaker | — | NULL | — |
| 376J00000X | Homemaker | — | — | — |

## Other

- **Enumeration date:** 07/08/2020
- **Last updated:** 07/08/2020