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Organization

AH TROY SUBTENANT, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DEBBIE SMITH (EXECUTIVE DIRECTOR)
(248) 589-3555
Entity
Organization

Contact information

Practice address
2300 GRAND HAVEN DR, TROY, MI 48083-4418
(248) 589-3555
(248) 589-9949
Mailing address
2300 GRAND HAVEN DR, TROY, MI 48083-4418
(248) 589-3555
(248) 589-9949

Taxonomy

Speciality
Code
Description
License number
State
332U00000X
Home Delivered Meals
Primary
376J00000X
Homemaker

Other

Enumeration date
05/14/2020
Last updated
05/14/2020
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