Organization
GROUP 1 HOMES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KENNETH ALLEN (CEO)
(313) 363-1682
Entity
Organization
Contact information
Practice address
18200 WESTLAND AVE, SOUTHFIELD, MI 48075-7170
(248) 796-8514
Mailing address
18200 WESTLAND AVE, SOUTHFIELD, MI 48075-7170
(248) 796-8514
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
48039
HOME HELP CARE
MI
Enumeration date
02/22/2011
Last updated
02/22/2011
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