# MAXICARE HOME HEALTH AGENCY, INC

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

## Provider details

- **NPI number:** 1952305906
- **Authorized official:** MS. ISABEL D TCRUZ (PRESIDENT/ CEO)
- **Authorized official phone:** (586) 293-1600

## Contact information

- **Practice address:** 28909 UTICA ROAD, ROSEVILLE, MI 48066
- **Practice address phone:** (586) 293-1600
- **Practice address fax:** (586) 293-1617
- **Mailing address:** 28909 UTICA ROAD, ROSEVILLE, MI 48066
- **Mailing address phone:** (586) 293-1600
- **Mailing address fax:** (586) 293-1617

## Taxonomy

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

## Other

- **Enumeration date:** 06/08/2005
- **Last updated:** 04/07/2014