Organization
EVERLASTING ARMS GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ABRAHAM O'DARE (DIRECTOR OF OPERATIONS)
(312) 388-2318
Entity
Organization
Contact information
Practice address
43644 ARBORVIEW LN, VAN BUREN TWP, MI 48111-3347
(855) 929-4368
(734) 796-2263
Mailing address
43644 ARBORVIEW LN, VAN BUREN TWP, MI 48111-3347
(855) 929-4368
(734) 796-2263
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
—
—
177F00000X
Lodging Provider
—
—
251E00000X
Home Health Agency
Primary
—
—
251F00000X
Home Infusion Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
261QA0600X
Adult Day Care Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CV0154164
SIGMA
MI
Enumeration date
07/19/2019
Last updated
07/19/2019
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