Organization · NPI-2

80th Street Corporation

In Home Supportive Care · Ann Arbor, MI

NPI number1497587679
StatusActive
Last updated in NPPESAug 16, 2024

Details

NPI
1497587679
Entity type
Organization (NPI-2)
Legal business name
80th Street Corporation
Organization subpart
No
Enumeration date
Aug 16, 2024
Certification date
Aug 16, 2024
Last updated
Aug 16, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
253Z00000X In Home Supportive Care––Yes

Other names

  • Homewatch Caregivers Of Ann Arbor (Doing Business As)

Practice location

525 Avis Dr Ste 3
Ann Arbor, MI 48108-9616

Phone 734-622-8190

Mailing address

525 Avis Dr Ste 3
Ann Arbor, MI 48108-9616

Phone 734-622-8190

Other practice locations

42450 W 12 Mile Rd Ste 215
Novi, MI 48377-3030

Phone 248-988-3716

Authorized official

Carly Lynne Mitchell
Owner
4433099657

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