Organization
MTB HOMES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOANITA N MUTEBI (ADMINISTRATOR)
(989) 402-8039
Entity
Organization
Contact information
Practice address
6210 WALDON RD, CLARKSTON, MI 48346-2237
(989) 402-8039
Mailing address
15093 OAK KNOLL CT, STERLING HEIGHTS, MI 48312-5779
(989) 402-8039
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
Other
Enumeration date
01/27/2025
Last updated
01/27/2025
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