Organization
NORTHERN HOMECARE, CASE MANAGEMENT & STAFFING INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICTORIA AJAERO (ADMINISTRATOR)
(248) 499-4038
Entity
Organization
Contact information
Practice address
20919 VAN BUREN ST, SOUTHFIELD, MI 48033-5975
(248) 499-4038
Mailing address
20919 VAN BUREN ST, SOUTHFIELD, MI 48033-5975
(248) 499-4038
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
4206364
MI
251E00000X
Home Health Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
MI
Other
Enumeration date
04/17/2015
Last updated
04/17/2015
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