Organization Name: | HOUSE CALL SERVICES LLC |
NPI Number: | 1174623870 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | BRIAN VESNAUGH (VICE -PRESIDENT) |
Mailing Address: | 8033 E 10 Mile Rd Suite 101 Center Line |
State: | MI US |
Postal Code: | 480151427 |
Phone Number: | 5869772900 |
Fax Number: | 5869772992 |
NPI Enumeration Date: | 09/22/2006 |
NPI Last Update Date: | 09/09/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 4301032630 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |