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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