Organization
SAVIOR'S GRACE HOME CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL G CORBY (CONTROLLER)
(989) 652-3470
Entity
Organization
Contact information
Practice address
28910 PLYMOUTH RD, LIVONIA, MI 48150-2337
(734) 425-0541
(734) 425-0544
Mailing address
9710 JUNCTION RD STE A, ATTN: LYNN MAURER, FRANKENMUTH, MI 48734-9502
(989) 652-4663
(989) 652-4790
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4410947
—
MI
01
—
OE177
BCBS PROVIDER #
MI
Enumeration date
10/18/2006
Last updated
09/11/2007
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