Organization
DYNA CARE HOME HEALTH INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ABITURAB BOXWALLA (PRESIDENT)
(708) 560-2925
Entity
Organization
Contact information
Practice address
27301 SCHOENHERR RD, SUITE 103, WARREN, MI 48088-6649
(586) 759-9971
(586) 759-8332
Mailing address
4800 W 129TH ST, ALSIP, IL 60803-3016
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0E894
BLUECROSS BLUESHIELD
MI
05
—
3319746
—
MI
Enumeration date
12/14/2006
Last updated
08/22/2020
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