Organization
EXECUTIVE HOME HEALTH SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MOHAMMED MOFOZZOL HUSSAIN (OWNER/CHIEF EXECUTIVE OFFICER)
(248) 967-9998
Entity
Organization
Contact information
Practice address
25900 GREENFIELD RD, SUITE - 410, OAK PARK, MI 48237-1292
(248) 967-9998
(248) 460-4200
Mailing address
25900 GREENFIELD RD, SUITE - 410, OAK PARK, MI 48237-1292
(248) 967-9998
(248) 460-4200
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
237660
MI
Other
Enumeration date
05/05/2006
Last updated
03/08/2012
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