Organization
WAKECO HOLDING COMPANY
Active
Other names
Metrox Healthcare Services
Organization subpart
No
Provider details
NPI number
Authorized official
CODY ISAIAH STEPHENS (PRESIDENT)
(313) 288-9736
Entity
Organization
Contact information
Practice address
13101 ECKLES RD STE 103, PLYMOUTH, MI 48170-4245
(313) 288-9736
Mailing address
PO BOX 51723, LIVONIA, MI 48151-5723
(734) 421-4010
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
291U00000X
Clinical Medical Laboratory
—
—
Other
Enumeration date
01/11/2022
Last updated
01/11/2022
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