Organization
PRUDENTIAL HOME HEALTH CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHANDNI EJAZ (DIRECTOR)
(248) 252-6726
Entity
Organization
Contact information
Practice address
26789 WOODWARD AVE, HUNTINGTON WOODS, MI 48070-1335
(248) 252-6726
Mailing address
26789 WOODWARD AVE, HUNTINGTON WOODS, MI 48070-1335
(248) 252-6726
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
NA
MI
Other
Enumeration date
02/06/2009
Last updated
02/06/2009
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