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Organization

KA BROTHERS HOME CARE SERVICE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MASKUR KAWSAR (CEO)
(586) 480-6558
Entity
Organization

Contact information

Practice address
42075 HANKS LN, STERLING HEIGHTS, MI 48314-3136
(586) 480-6558
Mailing address
42075 HANKS LN, STERLING HEIGHTS, MI 48314-3136
(586) 480-6558

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
9771354
MI
Enumeration date
02/01/2023
Last updated
02/01/2023
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