Organization
FAIRLANE HOME HEALTH CARE AGENCY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TALAL H SABRAH (PRESIDENT)
(313) 588-2403
Entity
Organization
Contact information
Practice address
14847 GRATIOT AVE, SUITE A, DETROIT, MI 48205-1942
(313) 588-2403
Mailing address
14847 GRATIOT AVE STE A, DETROIT, MI 48205-1942
(313) 588-2403
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
05/06/2010
Last updated
06/20/2012
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