Organization
LUXURY HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHELBY FREEMAN (CEO)
(734) 972-5376
Entity
Organization
Contact information
Practice address
6015 LAKE DR LOT 106, YPSILANTI, MI 48197-7016
(734) 717-3272
Mailing address
PO BOX 970174, YPSILANTI, MI 48197-0024
(734) 972-5376
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
VS0178312
—
MI
Enumeration date
10/23/2020
Last updated
10/23/2020
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