Organization
1ST ASSISTANT HOME HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAWRENCE PORTER (EXECUTIVE DIRECTOR)
(313) 434-9656
Entity
Organization
Contact information
Practice address
25820 SOUTHFIELD RD STE 209, SOUTHFIELD, MI 48075-1828
(313) 434-9656
Mailing address
25820 SOUTHFIELD RD STE 209, SOUTHFIELD, MI 48075-1828
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
07/30/2018
Last updated
07/30/2018
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