Organization
CONCERNED HOME CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. EMELIN JOY TAN BSN RN CEO (CHIEF EXECUTIVE OFFICER)
(989) 479-3101
Entity
Organization
Contact information
Practice address
136 N FIRST ST, HARBOR BEACH, MI 48441-1101
(989) 479-3101
(989) 479-3529
Mailing address
PO BOX 110, 136 N FIRST ST, HARBOR BEACH, MI 48441-0110
(989) 479-3101
(989) 479-3529
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
125072
GREAT LAKES
MI
05
—
3212543
—
MI
01
—
OE808
BLUE CROSS BLUE SHIELD
MI
Enumeration date
07/07/2005
Last updated
08/22/2020
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