Organization
VIP HOME HELP CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JON KENT ETHRIDGE II (PRESIDENT)
(313) 268-5424
Entity
Organization
Contact information
Practice address
17801 ROWE ST, DEROIT, MI 48205
(313) 268-5424
Mailing address
17801 ROWE ST, DETROIT, MI 48205-3125
(313) 268-5424
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
04/19/2011
Last updated
04/19/2011
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