Organization
KBS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BIJOU LEWIS (MANAGER)
(248) 421-5789
Entity
Organization
Contact information
Practice address
101 W BIG BEAVER RD, SUITE 1400, TROY, MI 48084-5253
(248) 687-1829
(248) 687-1001
Mailing address
101 W BIG BEAVER RD, SUITE 1400, TROY, MI 48084-5253
(248) 687-1829
(248) 687-1001
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
MI
Other
Enumeration date
05/07/2013
Last updated
05/07/2013
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