Organization
MYLIFE HOME HEALTH CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFFREY DAVID WILBUR OTR, CSCS (PRESIDENT)
(586) 822-8209
Entity
Organization
Contact information
Practice address
43889 RIVERGATE DR, CLINTON TOWNSHIP, MI 48038-1361
(586) 822-8209
Mailing address
43889 RIVERGATE DR, CLINTON TOWNSHIP, MI 48038-1361
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
5201004147
MI
Other
Enumeration date
09/06/2008
Last updated
09/06/2008
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