Organization
FAIRLANE HOME HEALTHCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FAKEHA SULTAN (ADMINISTRATOR)
(734) 306-1992
Entity
Organization
Contact information
Practice address
4 PARKLANE BLVD STE 360, DEARBORN, MI 48126-2660
(313) 982-3000
(313) 982-3003
Mailing address
4 PARKLANE BLVD STE 360, DEARBORN, MI 48126-2660
(313) 982-3000
(313) 982-3003
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
03/09/2008
Last updated
05/28/2010
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