Organization
SUPPORTIVE HOME HEALTH CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL MALECKI (EXECUTIVE DIRECTOR)
(248) 291-5806
Entity
Organization
Contact information
Practice address
32003 PLYMOUTH RD, LIVONIA, MI 48150-1927
(248) 291-5806
(248) 281-1016
Mailing address
32003 PLYMOUTH RD, LIVONIA, MI 48150-1927
(248) 291-5806
(248) 281-1016
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
—
—
163WI0500X
Infusion Therapy Registered Nurse
—
—
2251G0304X
Geriatric Physical Therapist
—
—
225700000X
Massage Therapist
—
—
225X00000X
Occupational Therapist
—
—
251E00000X
Home Health Agency
237746
MI
Other
Enumeration date
12/11/2017
Last updated
06/27/2023
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