# AVANTA HOME HEALTH CARE SERVICES, INC.

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

## Provider details

- **NPI number:** 1982844262
- **Authorized official:** CARMELITA JOQUICO RN, BSN (OWNER)
- **Authorized official phone:** (248) 563-1989

## Contact information

- **Practice address:** 28880 SOUTHFIELD RD STE 181, LATHRUP VILLAGE, MI 48076-2700
- **Practice address phone:** (248) 563-1989
- **Mailing address:** 28880 SOUTHFIELD RD STE 181, LATHRUP VILLAGE, MI 48076-2700
- **Mailing address phone:** (248) 563-1989

## Taxonomy

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

## Other

- **Enumeration date:** 02/26/2009
- **Last updated:** 02/26/2009