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Organization

OFFICIAL CARE CONNECTION LLC

Active
Parent organization
ONLY FAMILY CONNECTIONS LLC
Other names
official care connection LLC
Organization subpart
Yes

Provider details

NPI number
Legal business name
ONLY FAMILY CONNECTIONS LLC
Authorized official
MR. HEZEKIAH DWAYNE CLARK (OPERATING CARE PROVIDER)
(313) 717-2598
Entity
Organization

Contact information

Practice address
25296 RONALD ST, ROSEVILLE, MI 48066-4461
(313) 717-2598
Mailing address
2222 FERRY PARK ST # 1206, DETROIT, MI 48208-1384
(313) 639-8117

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8132125
MI
Enumeration date
08/24/2023
Last updated
08/26/2023
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