Organization
EXTRACARE HOME HEALTH SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MOHAMMAD Y KHAN PT (PRESIDENT)
(734) 925-1909
Entity
Organization
Contact information
Practice address
2100 W BIG BEAVER RD, SUITE 200, TROY, MI 48084-3406
(734) 925-1909
Mailing address
2100 W BIG BEAVER RD, SUITE 200, TROY, MI 48084-3406
(734) 925-1909
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
09/22/2009
Last updated
09/22/2009
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