Organization
PROVIDERS HOME CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YAHIA SHUKR (ADMINISTRATOR)
(313) 274-8710
Entity
Organization
Contact information
Practice address
14650 W WARREN AVE STE 250, DEARBORN, MI 48126-1700
(313) 274-8710
(313) 274-8711
Mailing address
14650 W WARREN AVE STE 250, DEARBORN, MI 48126-1700
(313) 274-8710
(313) 274-8711
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
MI
251E00000X
Home Health Agency
—
—
Other
Enumeration date
10/01/2007
Last updated
12/19/2023
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