Organization
OMNI PRIVATE DUTY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LUDA BRAND RN (DIRECTOR OF NURSING/OWNER)
(586) 759-9525
Entity
Organization
Contact information
Practice address
25932 DEQUINDRE RD, SUITE B, WARREN, MI 48091-1071
(586) 759-9525
(586) 582-0184
Mailing address
25932 DEQUINDRE RD, SUITE B, WARREN, MI 48091-1071
(586) 759-9525
(586) 582-0184
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0030849
DHS HOME HELP PROVIDER ID NUMBER
MI
Enumeration date
10/25/2010
Last updated
10/25/2010
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