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Organization

BLUEPRINT HOME HEALTHCARE CORP.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. TRAVAR PETTWAY (PRESIDENT)
(888) 368-0007
Entity
Organization

Contact information

Practice address
2723 S STATE ST, SUITE 150, ANN ARBOR, MI 48104-6188
(888) 572-5541
(888) 706-1606
Mailing address
PO BOX 871314, CANTON, MI 48187-6314
(888) 368-0007

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary

Other

Enumeration date
09/21/2011
Last updated
12/20/2011
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