Organization
CMK HOMECARE
Active
Other names
Executive Care
Organization subpart
No
Provider details
NPI number
Authorized official
CATHERINE KIRK (OWNER)
(586) 599-0005
Entity
Organization
Contact information
Practice address
19500 HALL RD, CLINTON TOWNSHIP, MI 48038
(586) 599-0005
Mailing address
19500 HALL RD, CLINTON TOWNSHIP, MI 48038
(586) 599-0005
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
81-096609
HOME CARE
—
Enumeration date
01/04/2018
Last updated
01/04/2018
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