Organization
COLONIAL HOME CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY RENFROE (EXECUTIVE ASSISTANT)
(313) 753-5258
Entity
Organization
Contact information
Practice address
27680 FRANKLIN RD # B, SOUTHFIELD, MI 48034-8203
(248) 770-3116
(248) 281-1810
Mailing address
27680 FRANKLIN RD # B, SOUTHFIELD, MI 48034-8203
(248) 770-3116
(248) 281-1810
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
Other
Enumeration date
06/18/2020
Last updated
06/18/2020
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