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Organization
PRISTINE HOME CARE LLC
Active
Organization
PRISTINE HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARAEA TUTSON RN (OWNER)
(248) 595-0322
Entity
Organization
Contact information
Practice address
3200 GREENFIELD RD STE 300, DEARBORN, MI 48120-1805
(248) 595-0322
(248) 595-0322
Mailing address
2640 COLLEGEWOOD ST, YPSILANTI, MI 48197-1745
(248) 595-0322
(248) 595-0322
Taxonomy
Speciality
Code
Description
License number
State
174200000X
Meals Provider
—
NULL
251B00000X
Case Management Agency
—
NULL
251E00000X
Home Health Agency
Primary
—
NULL
251J00000X
Nursing Care Agency
—
NULL
251S00000X
Community/Behavioral Health Agency
—
NULL
251T00000X
PACE Provider Organization
—
NULL
253J00000X
Foster Care Agency
—
NULL
253Z00000X
In Home Supportive Care Agency
—
NULL
261QC1500X
Community Health Clinic/Center
—
NULL
310400000X
Assisted Living Facility
—
NULL
311ZA0620X
Adult Care Home Facility
—
NULL
3140N1450X
Pediatric Skilled Nursing Facility
—
NULL
343900000X
Non-emergency Medical Transport (VAN)
—
NULL
385H00000X
Respite Care
—
NULL
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
NULL
Other
Enumeration date
04/10/2019
Last updated
01/24/2023
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