Organization
BETTERWAY HOMECARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LESLIE JACKSON M.A. (PRESIDENT)
(313) 742-1777
Entity
Organization
Contact information
Practice address
18350 LAHSER RD, SUITE 210, DETROIT, MI 48219-4326
(313) 493-2378
Mailing address
PO BOX 19087, GRANDRIVER AVENUE, DETROIT, MI 48219-0087
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
4704208429
MI
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Enumeration date
03/31/2015
Last updated
07/27/2015
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