# KING HOME HEALTH CARE LLC

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

## Provider details

- **NPI number:** 1831967413
- **Authorized official:** MOHAMED JASSIM (CEO)
- **Authorized official phone:** (586) 446-2230

## Contact information

- **Practice address:** 17125 W 12 MILE RD, SOUTHFIELD, MI 48076-2104
- **Practice address phone:** (586) 446-2230
- **Mailing address:** 17125 W 12 MILE RD, SOUTHFIELD, MI 48076-2104

## Taxonomy

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

## Other

- **Enumeration date:** 12/13/2023
- **Last updated:** 12/18/2023