Organization
UNIQUE IN HOME CARE SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHALVONTE CROSBY (CEO)
(313) 315-0151
Entity
Organization
Contact information
Practice address
19964 ROGGE ST, DETROIT, MI 48234-3031
(313) 466-4091
(313) 543-3172
Mailing address
PO BOX 40151, REDFORD, MI 48240-0151
(313) 466-4091
(313) 740-7458
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7809391
—
MI
Enumeration date
08/12/2015
Last updated
02/03/2016
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