Organization
ACTIVE HOME CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAZON JOHNSON (PRESIDENT)
(248) 395-2719
Entity
Organization
Contact information
Practice address
29350 SOUTHFIELD RD, STE 131, SOUTHFIELD, MI 48076-2053
(248) 395-2719
(248) 395-2716
Mailing address
29350 SOUTHFIELD RD, STE 131, SOUTHFIELD, MI 48076-2053
(248) 395-2719
(248) 395-2716
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
03/15/2006
Last updated
01/19/2011
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