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Organization

PRIVATE DUTY HOME HEALTHCARE, LLC

Active
Other names
Avid Health at Home Michigan
Organization subpart
No

Provider details

NPI number
Authorized official
JENNIFER LENTZ (CEO)
(910) 728-4668
Entity
Organization

Contact information

Practice address
3838 NILES RD, SAINT JOSEPH, MI 49085-8612
(269) 983-0300
(269) 983-0303
Mailing address
3838 NILES RD, SAINT JOSEPH, MI 49085-8612
(269) 983-0300
(269) 983-0303

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
251J00000X
Nursing Care Agency
Primary
253Z00000X
In Home Supportive Care Agency

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
5652945
MI
Enumeration date
12/12/2025
Last updated
12/12/2025
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