# SIERRA PRIDE HOME HEALTHCARE AGENCY LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** TOM THE TAILOR
- **Organization subpart:** No

## Provider details

- **NPI number:** 1861624967
- **Authorized official:** MRS. BRIDGET HAMED REGISTERED NURSE (CEO AND ADMINISTRATOR)
- **Authorized official phone:** (248) 321-7206

## Contact information

- **Practice address:** 29333 TRAILWOOD DR, WARREN, MI 48092-4696
- **Practice address phone:** (248) 321-7206
- **Practice address fax:** (585) 619-9312
- **Mailing address:** 29333 TRAILWOOD DR, WARREN, MI 48092-4696
- **Mailing address phone:** (248) 321-7206
- **Mailing address fax:** (585) 619-9312

## Taxonomy

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

## Other

- **Enumeration date:** 08/22/2009
- **Last updated:** 08/22/2009