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Organization

SOUTHEASTERN MICHIGAN HOMECARE SOLUTIONS, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
THOMAS GORDON (PRESIDENT)
(313) 794-9036
Entity
Organization

Contact information

Practice address
102 KERCHEVAL AVE STE 100, GROSSE POINTE FARMS, MI 48236-3660
(313) 794-9036
(313) 794-9039
Mailing address
102 KERCHEVAL AVE STE 100, GROSSE POINTE FARMS, MI 48236-3660
(313) 794-9036
(313) 794-9039

Taxonomy

Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
03318Q
STATE OF MICHIGAN
MI
Enumeration date
01/31/2014
Last updated
01/31/2014
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