Organization
EMPERORS OASIS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JETINA THOMAS (OFFICE MANAGER)
(248) 445-1950
Entity
Organization
Contact information
Practice address
23100 PROVIDENCE DR, SOUTHFIELD, MI 48075-3646
(248) 445-1950
Mailing address
15322 COURT VILLAGE LN, TAYLOR, MI 48180-4976
(248) 445-1950
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
09/21/2021
Last updated
09/21/2021
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