Organization
KING HOME HEALTH CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOHAMED JASSIM (CEO)
(586) 446-2230
Entity
Organization
Contact information
Practice address
17125 W 12 MILE RD, SOUTHFIELD, MI 48076-2104
(586) 446-2230
Mailing address
17125 W 12 MILE RD, SOUTHFIELD, MI 48076-2104
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
12/13/2023
Last updated
12/18/2023
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