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Organization

AH ROSEVILLE SUBTENANT LLC

Active
Other names
American House East 1
Organization subpart
No

Provider details

NPI number
Authorized official
LISA ALEXANDER (COMPLIANCE DIRECTOR)
(248) 392-5521
Entity
Organization

Contact information

Practice address
17255 COMMON RD, ROSEVILLE, MI 48066-1954
(586) 776-8500
Mailing address
17255 COMMON RD, ROSEVILLE, MI 48066-1954
(586) 776-8500

Taxonomy

Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary

Other

Enumeration date
03/10/2022
Last updated
03/10/2022
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