Organization
THE 4EVER HOME LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAYA R GRANT (OWNER)
(248) 277-6601
Entity
Organization
Contact information
Practice address
14395 HENDRICKS AVE, WARREN, MI 48089-5469
(248) 277-6601
(248) 277-6601
Mailing address
14395 HENDRICKS AVE, WARREN, MI 48089-5469
(248) 277-6601
(248) 277-6601
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
11/04/2025
Last updated
11/04/2025
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