Organization
EXPRESS HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JUDY STAPLES (ADMINISTRATOR)
(248) 395-0222
Entity
Organization
Contact information
Practice address
18411 W 12 MILE RD, SUITE 100, LATHRUP VILLAGE, MI 48076-2642
(248) 395-0222
(248) 395-0226
Mailing address
18411 W 12 MILE RD, SUITE 100, LATHRUP VILLAGE, MI 48076-2642
(248) 395-0222
(248) 395-0226
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
MI
Other
Enumeration date
08/01/2008
Last updated
12/11/2009
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