Organization
COMPANION CARE PROVIDERS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT L BARKSDALE (OWNER)
(313) 471-8407
Entity
Organization
Contact information
Practice address
1938 BURDETTE ST STE 1, FERNDALE, MI 48220-1982
(313) 471-8407
Mailing address
535 GRISWOLD ST STE 111-540, DETROIT, MI 48226-3604
(313) 471-8407
Taxonomy
Speciality
Code
Description
License number
State
174200000X
Meals Provider
—
—
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
10/03/2024
Last updated
10/03/2024
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