Organization
MOTHER'S HEART LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEISHA L MAGEE (CEO)
(872) 333-6437
Entity
Organization
Contact information
Practice address
23169 MICHIGAN AVE # 2658, DEARBORN, MI 48124-0001
(872) 216-7015
Mailing address
PO BOX 2658, DEARBORN, MI 48123-2658
(872) 216-7015
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
10/10/2022
Last updated
10/10/2022
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