Organization
EULICARE HOME HEALTH SERVICE, LLC
Active
Organization
EULICARE HOME HEALTH SERVICE, LLC
Active
Other names
Eulicare Medical
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PATRICIA KPAN (OWNER)
(313) 522-9399
Entity
Organization
Contact information
Practice address
16213 W SEVEN MILE RD, DETROIT, MI 48235-0399
(313) 566-5356
(313) 731-2008
Mailing address
PO BOX 35399, DETROIT, MI 48235-0399
(313) 566-5356
(313) 731-2008
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5071400001
MEDICARE PROVIDER
MI
01
—
540H221350
BCBS PIN#
MI
05
—
87458204
—
MI
Enumeration date
10/17/2006
Last updated
03/09/2011
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