Organization
CHAMPION HOME HEALTHCARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAQUELINE B COLLINS RN (PRESIDENT)
(248) 327-7800
Entity
Organization
Contact information
Practice address
16250 NORTHLAND DR, STE 368, SOUTHFIELD, MI 48075-5205
(248) 327-7800
(248) 327-7822
Mailing address
PO BOX 20791, FERNDALE, MI 48220-0791
(248) 327-7800
(248) 327-7822
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
MI
Enumeration date
12/11/2014
Last updated
06/11/2024
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