Organization
OAKWOOD HOME CARE SERVICES
Active
Other names
Oakwood Home Care
Organization subpart
No
Provider details
NPI number
Authorized official
KATHY L SOUPIS RN (ADMINISTRATOR)
(313) 996-3023
Entity
Organization
Contact information
Practice address
1633 FAIRLANE CIR, SUITE 100, ALLEN PARK, MI 48101-3660
(800) 757-7711
(313) 996-3102
Mailing address
1633 FAIRLANE CIRCLE SUITE 100, ALLEN PARK, MI 48101-3660
(800) 757-7711
(313) 996-3102
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000003409
CAPE HEALTH
MI
01
—
111432
CARE CHOICES
MI
01
—
127837
GREAT LAKES HEALTH
MI
01
—
237211
HAP
MI
05
—
2598361
—
MI
01
—
HH820004
M-CARE
MI
01
—
OE115
BLUE CROSS
MI
Enumeration date
08/01/2006
Last updated
12/30/2011
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