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Organization

SCL HOME CARE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
AVIANCE ASMARO (PRESIDENT)
(586) 596-8616
Entity
Organization

Contact information

Practice address
16248 ANGORA LN, MACOMB, MI 48044-3932
(586) 596-8616
Mailing address
16248 ANGORA LN, MACOMB, MI 48044-3932
(586) 596-8616

Taxonomy

Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
023456
MI
01
123456
MEDICARE
MI
Enumeration date
02/01/2025
Last updated
02/01/2025
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