Organization
LIFE-LINE HOME HEALTH, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FAISAL RIAZ AHMAD (ADMINISTRATOR)
(313) 581-7200
Entity
Organization
Contact information
Practice address
4700 GREENFIELD RD, DEARBORN, MI 48126-4124
(313) 581-7200
(313) 581-7229
Mailing address
4700 GREENFIELD RD, DEARBORN, MI 48126-4124
(313) 581-7200
(313) 581-7229
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
237505
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4739413
—
MI
01
—
HCO 386123
JCAHO PROVIDER NUMBER
MI
Enumeration date
10/24/2006
Last updated
08/22/2020
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