Organization
MI CARE PROVIDER LLC
Active
Other names
MI CARE PROVIDER LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SHIBLU F AHMAD (OWNER)
(586) 876-5513
Entity
Organization
Contact information
Practice address
30500 VAN DYKE AVE STE 201, WARREN, MI 48093-2109
(586) 876-5513
Mailing address
30500 VAN DYKE AVE STE 201, WARREN, MI 48093-2109
(586) 876-5513
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
08/18/2023
Last updated
08/18/2023
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