Organization
INNOVATIVE HEALTHCARE SYSTEMS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAMRI HOGANS (OFFICE MANAGER)
(248) 757-1100
Entity
Organization
Contact information
Practice address
19111 W 10 MILE RD, SUITE 231, SOUTHFIELD, MI 48075-2417
(248) 757-5050
Mailing address
19111 W 10 MILE RD, SUITE 231, SOUTHFIELD, MI 48075-2417
(248) 757-5050
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5183351
—
MI
Enumeration date
07/05/2016
Last updated
07/05/2016
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