Organization
COMMUNITY HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RIAM TALIB (ADMINISTRATOR)
(208) 761-9439
Entity
Organization
Contact information
Practice address
25740 EUREKA DR, WARREN, MI 48091-1426
(208) 761-9439
Mailing address
25740 EUREKA DR, WARREN, MI 48091-1426
(208) 761-9439
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
12/09/2024
Last updated
12/10/2024
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