Organization
ST JUDE'S HOME CARE SERVICES LLC
Active
Other names
St Jude's Private Duty and Staffing
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TEMITOPE O FATIREGUN RPT (PRESIDENT)
(313) 398-6776
Entity
Organization
Contact information
Practice address
6029 E 14 MILE RD STE 200C, STERLING HEIGHTS, MI 48312-5812
(313) 398-6776
(586) 272-2491
Mailing address
6029 E 14 MILE RD STE 200C, STERLING HEIGHTS, MI 48312-5812
(313) 398-6776
(586) 272-2491
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
802564428
STATE CORPORATE IDENTIFICATION NUMBER
MI
Enumeration date
12/14/2021
Last updated
12/14/2021
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