# TEAM VETERAN,LLC

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

## Provider details

- **NPI number:** 1811518418
- **Authorized official:** TRACY VIVIAN KIRBY (OPERATIONAL MANAGER)
- **Authorized official phone:** (313) 412-5053

## Contact information

- **Practice address:** 19135 VAN DYKE ST, DETROIT, MI 48234-3347
- **Practice address phone:** (313) 412-5053
- **Practice address fax:** (313) 412-5053
- **Mailing address:** PO BOX 66074, ROSEVILLE, MI 48066-6074
- **Mailing address phone:** (313) 739-7982
- **Mailing address fax:** (313) 412-5053

## Taxonomy

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

## Other

- **Enumeration date:** 05/05/2020
- **Last updated:** 05/05/2020