Organization
ARTESIAN HEALTH SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EBONY DAVIS-MALCOM (CEO)
(586) 551-2919
Entity
Organization
Contact information
Practice address
28475 GREENFIELD RD STE 113, SOUTHFIELD, MI 48076-3034
(586) 551-2919
Mailing address
28475 GREENFIELD RD STE 113, SOUTHFIELD, MI 48076-3034
(586) 551-2919
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
05/22/2025
Last updated
05/22/2025
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