Organization
MAVIS HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. VICKY WARDFORD POLK (MEMBER)
(313) 454-3150
Entity
Organization
Contact information
Practice address
8325 E JEFFERSON AVE # 104, DETROIT, MI 48214-2797
(313) 454-3150
(313) 454-3150
Mailing address
8325 E JEFFERSON AVE # 104, DETROIT, MI 48214-2797
(313) 454-3150
(313) 454-3150
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
144596
MI
Other
Enumeration date
03/12/2014
Last updated
03/12/2014
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