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Organization

DOCTORS HOME CARE MANAGEMENT

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. TIMOTHY ROGERS JR. (ADMINISTRATOR)
(313) 850-6761
Entity
Organization

Contact information

Practice address
15822 FAIRFIELD ST, DETROIT, MI 48238-4119
(313) 850-6761
(248) 968-5958
Mailing address
15822 FAIRFIELD ST, DETROIT, MI 48238
(313) 850-6761
(248) 968-5958

Taxonomy

Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
MI

Other

Enumeration date
05/25/2011
Last updated
05/25/2011
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