Organization
MOONLITE HOSPICE CARE INC
Active
Organization
MOONLITE HOSPICE CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. REHAN ULLAH KHAN (PRESIDENT/ADMINISTRATOR)
(313) 662-4958
Entity
Organization
Contact information
Practice address
31153 PLYMOUTH RD, SUITE 107, LIVONIA, MI 48150-2134
(313) 662-4958
Mailing address
31153 PLYMOUTH RD, SUITE 107, LIVONIA, MI 48150-2134
(313) 662-4958
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
MI
Other
Enumeration date
05/03/2011
Last updated
06/20/2018
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