Organization
WILLIAM BEAUMONT HOSPITAL
Active
Other names
Beaumont Home Care
Organization subpart
No
Provider details
NPI number
Authorized official
LEE ANN ODOM (PRESIDENT SHARED SERVICES)
(947) 522-3326
Entity
Organization
Contact information
Practice address
1410 E 14 MILE RD, MADISON HEIGHTS, MI 48071-1541
(248) 743-9500
(248) 743-9111
Mailing address
26901 BEAUMONT BLVD, COMPLIANCE, SOUTHFIELD, MI 48071
(947) 522-1964
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2592813
—
MI
01
—
OE088
BCBS PROVIDER ID#
MI
Enumeration date
07/11/2006
Last updated
10/07/2021
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