Organization
SUSTAINING HOME CARE AGENCY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICKI LANORA POWELL (AGENCY MANAGER)
(586) 214-0213
Entity
Organization
Contact information
Practice address
30844 CREST FRST, FARMINGTON HILLS, MI 48331-1086
(855) 787-4664
(855) 787-4664
Mailing address
30844 CREST FRST, FARMINGTON HILLS, MI 48331-1086
(855) 787-4664
(855) 787-4664
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
251G00000X
Community Based Hospice Care Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Enumeration date
08/03/2013
Last updated
08/03/2013
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