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Organization

AMBIENT TRANSIENT HOME CARE INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. DAPHNE SONYA HAWKINS LIC. RRT (OWNER)
(734) 585-7252
Entity
Organization

Contact information

Practice address
696 N MILL ST, SUITE 108, PLYMOUTH, MI 48170-1452
(734) 585-7252
Mailing address
696 N MILL ST, SUITE 108, PLYMOUTH, MI 48170-1452
(734) 585-7252

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
4401003872
MI
251F00000X
Home Infusion Agency
4401003872
MI
253Z00000X
In Home Supportive Care Agency
4401003872
MI
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
4401003872
MI
332BX2000X
Oxygen Equipment & Supplies (DME)
4401003872
MI
343900000X
Non-emergency Medical Transport (VAN)
4401003872
MI

Other

Enumeration date
04/21/2010
Last updated
04/21/2010
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