Organization
ASSISTED CARE AGENCY
Active
Organization
ASSISTED CARE AGENCY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CALVIN PATTAH (MANAGER)
(248) 761-9800
Entity
Organization
Contact information
Practice address
4514 FOREST EDGE LN, WEST BLOOMFIELD, MI 48323-2182
(248) 761-9800
Mailing address
4514 FOREST EDGE LN, WEST BLOOMFIELD, MI 48323-2182
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
05/29/2025
Last updated
06/08/2026
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