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Organization

HOME COMMUNITY SUPPORTED LIVING ARRANGEMENTS

Active
Other names
HOME, Inc
Organization subpart
No

Provider details

NPI number
Authorized official
MS. REXINE NEWHOUSE (EXECUTIVE DIRECTOR)
(734) 242-2177
Entity
Organization

Contact information

Practice address
852 W ELM AVE, MONROE, MI 48162-7917
(734) 242-2177
(734) 242-2523
Mailing address
852 W ELM AVE, MONROE, MI 48162-7917
(734) 242-2177
(734) 242-2523

Taxonomy

Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2812326
ODJFS MEDICAID PROVIDER NUMBER
OH
Enumeration date
04/22/2009
Last updated
04/22/2009
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