# 1ST ASSISTANT HOME HEALTH SERVICES LLC

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

## Provider details

- **NPI number:** 1972017499
- **Authorized official:** KELLY BUTLER (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (314) 503-0062

## Contact information

- **Practice address:** 25820 SOUTHFIELD RD STE 209A, SOUTHFIELD, MI 48075-1826
- **Practice address phone:** (314) 503-0062
- **Mailing address:** 25820 SOUTHFIELD RD STE 209, SOUTHFIELD, MI 48075-1828

## Taxonomy

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

## Other

- **Enumeration date:** 11/20/2017
- **Last updated:** 09/30/2019