Organization
IMPERIUM HOME CARE,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RYAN JOSEPH THOMAS (CFO & CO-OWNER)
(989) 202-2781
Entity
Organization
Contact information
Practice address
1960 W HOUGHTON LAKE DR STE 4, HOUGHTON LAKE, MI 48629-9297
(989) 202-2789
Mailing address
337 E HURON ST, GAYLORD, MI 49735-1429
(989) 202-2781
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
02/16/2023
Last updated
02/16/2023
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