Organization
MISSION HOME HEALTH CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DOMINIQUE B. SULLANO (VICE PRESIDENT)
(734) 968-4341
Entity
Organization
Contact information
Practice address
5820 N LILLEY RD, SUITE 5, CANTON, MI 48187-3686
(734) 335-6393
(734) 335-6774
Mailing address
5820 N LILLEY RD, SUITE 5, CANTON, MI 48187-3686
(734) 335-6393
(734) 335-6774
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
04/04/2011
Last updated
12/28/2012
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