Organization
COGNITIVE & PHYSICAL HOME CARE SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RODERICA JAMES (PRESIDENT)
(313) 801-3467
Entity
Organization
Contact information
Practice address
24333 SOUTHFIELD RD, STE. 108, SOUTHFIELD, MI 48075-2822
(313) 595-1496
(313) 638-1827
Mailing address
24333 SOUTHFIELD RD, STE. 108, SOUTHFIELD, MI 48075-2822
(313) 595-1496
(313) 638-1827
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
06/13/2013
Last updated
06/13/2013
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