Organization
IN HOME HEALTH CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM JOHNSON (OWNER)
(248) 497-6432
Entity
Organization
Contact information
Practice address
17200 W 10 MILE RD STE 201, SOUTHFIELD, MI 48075-8200
(248) 497-6432
Mailing address
PO BOX 250111, WEST BLOOMFIELD, MI 48325-0111
(248) 497-6432
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
D4190P
MI
Other
Enumeration date
09/12/2011
Last updated
09/12/2011
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