Organization Name: | SUSTAINING HOME CARE AGENCY LLC |
NPI Number: | 1568894392 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | VICKI LANORA POWELL (AGENCY MANAGER) |
Mailing Address: | 30844 Crest Frst Farmington Hills |
State: | MI US |
Postal Code: | 483311086 |
Phone Number: | 8557874664 |
Fax Number: | 8557874664 |
NPI Enumeration Date: | 08/03/2013 |
NPI Last Update Date: | 08/03/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251G00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Hospice Care, Community Based |
Taxonomy Specialization: | |
Taxonomy Definition: |