Organization
ALASTOR HOME CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRISTA KALOUS (VP)
(734) 564-4073
Entity
Organization
Contact information
Practice address
20270 MIDDLEBELT RD, SUITE 3, LIVONIA, MI 48152
(734) 956-0482
Mailing address
47448 PONTIAC TRL STE 151, WIXOM, MI 48393-2558
(734) 956-0482
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
—
—
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
08/25/2021
Last updated
07/18/2024
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