Organization
PERFECTED HOME CARE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HENRI GODBOLD MEDICAL DOCTOR (OWNER)
(248) 855-1956
Entity
Organization
Contact information
Practice address
31500 W 13 MILE RD, 104, FARMINGTON HILLS, MI 48334-2164
(248) 855-1956
(248) 855-1977
Mailing address
31500 W 13 MILE RD, STE 104, FARMINGTON HILLS, MI 48334-2164
(248) 855-1956
(248) 855-1977
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301080880
MI
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
4301080800
MI
Other
Enumeration date
01/24/2014
Last updated
05/15/2014
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