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Organization

STAY AT HOME CARE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. BRENDA KEENE RADEMAN (CEO/OWNER)
(313) 427-3286
Entity
Organization

Contact information

Practice address
15919 MOORE AVE, ALLEN PARK, MI 48101-1560
(313) 427-3286
(313) 381-2643
Mailing address
PO BOX 771, ALLEN PARK, MI 48101-0771
(313) 427-3286
(313) 381-2643

Taxonomy

Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
MI

Other

Enumeration date
05/18/2012
Last updated
05/18/2012
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