Organization
INTERSTATE HOME HEALTH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MAYSARSH KNOUNA (PRESIDENT)
(248) 809-2500
Entity
Organization
Contact information
Practice address
27177 LAHSER RD STE 102, SOUTHFIELD, MI 48034-8467
(248) 809-2500
(248) 809-3777
Mailing address
27177 LAHSER RD STE 102, SOUTHFIELD, MI 48034-8467
(248) 809-2500
(248) 809-3777
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
08/01/2019
Last updated
04/03/2024
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