Organization
A.N.N. INC.
Active
Other names
At Home Network, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHAWQI E HALABU M.D. (ADMINISTRATOR)
(248) 987-1320
Entity
Organization
Contact information
Practice address
20282 MIDDLEBELT RD, LIVONIA, MI 48152-2002
(248) 987-1320
(248) 987-1326
Mailing address
20282 MIDDLEBELT RD, LIVONIA, MI 48152-2002
(248) 987-1320
(248) 987-1326
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15 4536377
MEDICAID PROVIDER NUMBER
MI
01
—
237407
MEDICARE PROVIDER NUMBER
MI
Enumeration date
01/09/2007
Last updated
04/17/2014
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