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Organization

WOODEN GROUP HOME HELP

Active
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Organization

WOODEN GROUP HOME HELP

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DAWON WOODEN (CEO)
(248) 763-7101
Entity
Organization

Contact information

Practice address
22800 CIVIC CENTER DR APT 103-A, SOUTHFIELD, MI 48033-7140
(248) 763-7101
Mailing address
22800 CIVIC CENTER DR APT 103-A, SOUTHFIELD, MI 48033-7140
(248) 763-7101

Taxonomy

Speciality
Code
Description
License number
State
174200000X
Meals Provider
—
NULL
177F00000X
Lodging Provider
—
NULL
251B00000X
Case Management Agency
—
NULL
251E00000X
Home Health Agency
—
NULL
251J00000X
Nursing Care Agency
—
NULL
253Z00000X
In Home Supportive Care Agency
Primary
—
NULL
261QP2000X
Physical Therapy Clinic/Center
—
NULL
261QV0200X
VA Clinic/Center
—
NULL

Other

Enumeration date
06/17/2022
Last updated
10/03/2022
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