Organization
INTERNATIONA HOME HEALTH CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HAROLD BRAGGS III (ADMINISTRATOR)
(313) 467-7861
Entity
Organization
Contact information
Practice address
15565 NORTHLAND DR, SUITE 402B, SOUTHFIELD, MI 48075
(313) 461-7861
Mailing address
15565 NORTHLAND DR, SUITE 402B, SOUTHFIELD, MI 48075
(313) 461-7861
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
999999
CHAPS CERTIFICATION
MI
Enumeration date
02/24/2009
Last updated
02/24/2009
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