Organization
IN-HOME HELP AGENCY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KOKOETE ETIM (OWNER/CEO)
(248) 416-8332
Entity
Organization
Contact information
Practice address
8904 WOODWARD AVE, DETROIT, MI 48202-1821
(248) 416-8332
Mailing address
8904 WOODWARD AVE, DETROIT, MI 48202-1821
(248) 416-8332
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
7908906
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7908906
—
MI
Enumeration date
02/01/2016
Last updated
02/13/2016
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