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Organization

PATIENT FIRST HOME CARE, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. WASIM IQBAL (PRESIDENT)
(616) 608-6246
Entity
Organization

Contact information

Practice address
2660 HORIZON DR SE, SUITE 130, GRAND RAPIDS, MI 49546-7527
(616) 608-6246
(616) 608-6284
Mailing address
2660 HORIZON DR SE, SUITE 130, GRAND RAPIDS, MI 49546-7527
(616) 608-6246
(616) 608-6284

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
23-7616
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
15-4968381
MI
01
7404893
AETNA
Enumeration date
01/22/2007
Last updated
08/01/2014
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