Organization
PROMED HOME HEALTH CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIPTI DIVE P.T. (PRESIDENT)
(248) 629-4100
Entity
Organization
Contact information
Practice address
330 E 12 MILE RD, MADISON HEIGHTS, MI 48071-2531
(248) 629-4100
(248) 629-4101
Mailing address
330 E 12 MILE RD, MADISON HEIGHTS, MI 48071-2531
(248) 629-4100
(248) 629-4101
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
08/29/2008
Last updated
04/19/2013
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