Organization Name: | HOME CARE SERVICES OF SE OAKLAND COUNTY, LLC |
NPI Number: | 1023418829 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | BEVERLY JEANNE BOSMAN (CONTROLLER) |
Mailing Address: | 903 N Main St Royal Oak |
State: | MI US |
Postal Code: | 480671839 |
Phone Number: | 2486291330 |
Fax Number: | 2486291331 |
NPI Enumeration Date: | 08/28/2014 |
NPI Last Update Date: | 08/28/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 253Z00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Agencies |
Taxonomy Classification: | In Home Supportive Care |
Taxonomy Specialization: | |
Taxonomy Definition: | An In Home Supportive Care Agency provides services in the patient |