Organization
KEYSTONE HOME CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ARKADY GREGORY GRALNIK (OWNER)
(248) 786-9499
Entity
Organization
Contact information
Practice address
600 GLENBROOKE, 17202, WATERFORD, MI 48327-2216
(248) 786-9499
Mailing address
600 GLENBROOKE, 17202, WATERFORD, MI 48327-2216
(248) 786-9499
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
122771
—
MI
Enumeration date
08/05/2013
Last updated
08/05/2013
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