Organization · NPI-2

Care Extended LLC

In Home Supportive Care · Inkster, MI

NPI number1033445465
StatusActive
Last updated in NPPESOct 20, 2009

Details

NPI
1033445465
Entity type
Organization (NPI-2)
Legal business name
Care Extended LLC
Organization subpart
No
Enumeration date
Oct 20, 2009
Last updated
Oct 20, 2009

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
253Z00000X In Home Supportive Care––Yes
347C00000X Private Vehicle––
385H00000X Respite Care––

Practice location

26250 Somerset Dr
Inkster, MI 48141-1335

Phone 313-544-6434

Mailing address

26250 Somerset Dr
Inkster, MI 48141-1335

Authorized official

Trassie L. Williams
Owner
3135446434

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