Organization
PROSPERITY HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS LATORYIA KATRICE WADDLES (OWNER)
(585) 610-2671
Entity
Organization
Contact information
Practice address
46355 LAKESIDE PARK DR APT 204, SHELBY TOWNSHIP, MI 48315-5548
(586) 610-2671
Mailing address
46355 LAKESIDE PARK DR APT 204, SHELBY TOWNSHIP, MI 48315-5548
(586) 610-2671
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
11/28/2018
Last updated
11/28/2018
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