Organization
CHAMPION HOME HEALTHCARE INC
Active
Parent organization
CHAMPION HOME HEALTHCARE INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
CHAMPION HOME HEALTHCARE INC
Authorized official
JACQUELINE B COLLINS (ADMINISTRATOR)
(248) 327-7800
Entity
Organization
Contact information
Practice address
16250 NORTHLAND DR STE 368, SOUTHFIELD, MI 48075-5208
(248) 327-7800
Mailing address
16250 NORTHLAND DR STE 368, SOUTHFIELD, MI 48075-5208
(248) 327-7800
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7787847
—
MI
Enumeration date
06/06/2024
Last updated
06/06/2024
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