Organization
INTEGRATIVE HOME HEALTH PALLIATIVE & HOSPICE CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFFERSON DAVIS RIDGEWAY III (PRESIDENT/CEO)
(248) 613-1221
Entity
Organization
Contact information
Practice address
1707 CAMPAU FARMS CIR, DETROIT, MI 48207-5169
(248) 613-1221
Mailing address
1707 CAMPAU FARMS CIR, DETROIT, MI 48207-5169
(248) 613-1221
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
251F00000X
Home Infusion Agency
—
—
251G00000X
Community Based Hospice Care Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Enumeration date
03/07/2014
Last updated
03/07/2014
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