Organization
SUPPORTIVE CARE SERVICES OF MICHIGAN INC
Active
Other names
At HOMe Support
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT CAHILL (SENIOR V.P. BUSINESS OPS & CFO)
(313) 578-5017
Entity
Organization
Contact information
Practice address
400 MACK AVE, DETROIT, MI 48201-2136
(313) 578-5000
Mailing address
400 MACK AVE, DETROIT, MI 48201-2136
(313) 578-5000
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
B0106
BCBSM
MI
Enumeration date
03/28/2007
Last updated
08/22/2020
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