Organization
ELDER HOME CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIRK YOUNG (PRESIDENT)
(313) 642-1410
Entity
Organization
Contact information
Practice address
16352 E WARREN AVE, DETROIT, MI 48224-2716
(313) 642-1410
Mailing address
16352 E WARREN AVE, DETROIT, MI 48224-2716
(313) 642-1410
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
302R00000X
MI
Other
Enumeration date
11/24/2008
Last updated
11/24/2008
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