Organization
MEADOW OAKS HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AKILIA WELLS-JACKSON RN (OWNER/RN)
(313) 626-0220
Entity
Organization
Contact information
Practice address
21601 CLOVERLAWN ST, OAK PARK, MI 48237-2630
(131) 360-5608
Mailing address
21601 CLOVERLAWN ST, OAK PARK, MI 48237-2630
(313) 605-6080
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
251J00000X
Nursing Care Agency
—
—
251T00000X
PACE Provider Organization
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Enumeration date
04/03/2024
Last updated
04/03/2024
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