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Virginia Park Citizens Service Corporation

Home Health Aide in Detroit, MI. Organization (NPI-2).

NPI number1023219201
StatusActive
Last updated in NPPESAug 22, 2020

Details

NPI
1023219201
Entity type
Organization (NPI-2)
Legal business name
Virginia Park Citizens Service Corporation
Organization subpart
No
Enumeration date
May 29, 2007
Last updated
Aug 22, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
374U00000X Home Health Aide––Yes

Practice location

8431 Rosa Parks Blvd
Detroit, MI 48206-2424

Phone 313-894-2830 · Fax 313-894-0766

Mailing address

8431 Rosa Parks Blvd
Detroit, MI 48206-2424

Phone 313-894-2830 · Fax 313-894-0766

Authorized official

Maude A Freeman
Executive Director
3138942830

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