# MARIAM HEALTH SERVICES PLC

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

## Provider details

- **NPI number:** 1770811788
- **Authorized official:** MRS. IMMACULATA OBIOMA NWACHUKWU (DIRECTOR)
- **Authorized official phone:** (734) 254-0092

## Contact information

- **Practice address:** 42000 KOPPERNICK RD, STE A-7, CANTON, MI 48187-4282
- **Practice address phone:** (734) 254-0092
- **Practice address fax:** (734) 254-0180
- **Mailing address:** 42000 KOPPERNICK RD, STE A-7, CANTON, MI 48187-4282
- **Mailing address phone:** (734) 254-0092
- **Mailing address fax:** (734) 254-0180

## Taxonomy

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

## Other

- **Enumeration date:** 12/02/2009
- **Last updated:** 12/02/2009