Organization
ESSENTIAL RELIABLE CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KESHA GLIMPS (OWNER/PROVIDER)
(248) 558-0454
Entity
Organization
Contact information
Practice address
513 CHERRY ORCHARD RD, CANTON, MI 48188-5272
(248) 558-0454
Mailing address
480 N CANTON CENTER RD # 1523, CANTON, MI 48187-8781
(248) 558-0454
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8018659
—
MI
Enumeration date
09/20/2020
Last updated
09/30/2020
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