Organization
SECOND GENERATION HOME HEALTH CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY M TODD (PRESIDENT)
17342420619
Entity
Organization
Contact information
Practice address
7790 AUDUBON LN, NEWPORT, MI 48166-6601
(734) 242-0619
(734) 586-0619
Mailing address
7790 AUDUBON LN, NEWPORT, MI 48166-6601
(734) 242-0619
(734) 586-0619
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
05/09/2006
Last updated
08/22/2020
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