Organization
MOMENTUM CARE
Active
Organization
MOMENTUM CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LIMAN BOULAMA (CEO)
(734) 330-4527
Entity
Organization
Contact information
Practice address
40315 MICHIGAN AVE # 1048, CANTON, MI 48188-2908
(734) 330-4527
Mailing address
40315 MICHIGAN AVE # 1048, CANTON, MI 48188-2908
(734) 330-4527
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
372600000X
Adult Companion
—
—
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
05/20/2024
Last updated
05/23/2024
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