Organization
VISITING NURSE ASSOCIATION OF SOUTHEAST MICHIGAN
Active
Other names
Visiting Nurse Association of SE MI
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFFREY HOUSE (PRESIDENT &CEO)
(248) 967-9611
Entity
Organization
Contact information
Practice address
25900 GREENFIELD RD, SUITE 600, OAK PARK, MI 48237-1292
(248) 967-8719
(248) 967-8761
Mailing address
25900 GREENFIELD RD, SUITE 600, OAK PARK, MI 48237-1292
(248) 967-8719
(248) 967-8761
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
104701
CARE CHOICES
MI
01
—
107680
TOTAL HEALTH CARE
MI
01
—
119813
GREAT LAKES HEALTH PLAN
MI
01
—
1239
HEALTH PLAN OF MI
MI
01
—
49381
OMNICARE
MI
01
—
5173847
MOLINA HEALTH CARE
MI
05
—
5173847
—
MI
01
—
E001
BLUE CROSS BLUE SHIELD
MI
Enumeration date
11/01/2006
Last updated
12/20/2011
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