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Organization

AFFINITY HOME CARE, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. LISA D CLEARY RN (PRESIDENT/CEO)
(586) 498-0068
Entity
Organization

Contact information

Practice address
23409 JEFFERSON AVE, SUITE 105, SAINT CLAIR SHORES, MI 48080-2049
(586) 498-0068
(586) 498-0938
Mailing address
23409 JEFFERSON AVE STE 105, SAINT CLAIR SHORES, MI 48080-3449
(586) 498-0068
(586) 498-0938

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
154667029
MI
251E00000X
Home Health Agency

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
148495
GREAT LAKES HEALTH PLAN
MI
05
154667029
MI
01
OE944
BLUE CROSS BLUE SHIELD
MI
01
QMXPR0031560
MOLINA
MI
Enumeration date
10/18/2006
Last updated
05/06/2026
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