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Organization

PURPLE WINGS HOME CARE, LLC

Active
Parent organization
PURPLE WINGS HOME CARE LLC
Other names
PURPLE WINGS HOME CARE, LLC
Organization subpart
Yes

Provider details

NPI number
Legal business name
PURPLE WINGS HOME CARE LLC
Authorized official
MS. CRYSTAL L COOK (ADMINISTRATION CONSULTANT)
(313) 728-7749
Entity
Organization

Contact information

Practice address
16840 WOODBINE ST, DETROIT, MI 48219-3742
(313) 728-7749
Mailing address
16840 WOODBINE ST, DETROIT, MI 48219-3742
(313) 728-7749

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
253Z00000X
In Home Supportive Care Agency
343900000X
Non-emergency Medical Transport (VAN)
347C00000X
Private Vehicle
374U00000X
Home Health Aide

Other

Enumeration date
11/29/2023
Last updated
12/29/2023
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