Organization
LATIVAH'S HOME HEALTH CARE SERVICE L.L.C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LATIVAH MARIE GREENE (BUSINESS OWNER)
(313) 455-8629
Entity
Organization
Contact information
Practice address
15200 E JEFFERSON AVE, SUITE 108A, GROSSE POINTE PARK, MI 48230-1304
(313) 455-8629
Mailing address
15200 E JEFFERSON AVE, SUITE 108A, GROSSE POINTE PARK, MI 48230-1304
(313) 455-8629
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
03/27/2013
Last updated
02/06/2014
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