Organization
IN YOUR HOME SENIOR ASSISTANCE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KANDY KAY WAGNER (OWNER)
(586) 242-5729
Entity
Organization
Contact information
Practice address
33813 BAYVIEW DRIVE, CHESTERFIELD, MI 48047
(586) 242-5729
Mailing address
38815 LAKESHORE DRIVE, HARRISON TWP, MI 48045
(586) 242-5729
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
06/21/2018
Last updated
06/21/2018
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