Organization
HOMEAIDELLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACQUELINE N THIBAULT (OFFICE MANAGER)
(734) 744-5496
Entity
Organization
Contact information
Practice address
15105 YALE ST, LIVONIA, MI 48154-7108
(734) 744-5496
Mailing address
15105 YALE ST, LIVONIA, MI 48154-7108
(734) 744-5496
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
11/29/2012
Last updated
11/29/2012
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