Organization
CARE AND REHAB SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICTORIA JEAN ALTADONNA (PRESIDENT)
(248) 710-3408
Entity
Organization
Contact information
Practice address
1142 N MAIN ST, ROCHESTER, MI 48307-1114
(248) 710-3408
(248) 710-3412
Mailing address
1142 N MAIN ST, ROCHESTER, MI 48307-1114
(248) 710-3408
(248) 710-3412
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
82-26332381
HEALTH
MI
Enumeration date
05/09/2018
Last updated
05/09/2018
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