Elder Home Care
Health Maintenance Organization in Detroit, MI. Organization (NPI-2).
NPI number1558516153
StatusActive
Last updated in NPPESNov 24, 2008
Details
- NPI
- 1558516153
- Entity type
- Organization (NPI-2)
- Legal business name
- Elder Home Care
- Organization subpart
- No
- Enumeration date
- Nov 24, 2008
- Last updated
- Nov 24, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 302R00000X | Health Maintenance Organization | 302R00000X | MI | Yes |
Practice location
16352 E Warren AveDetroit, MI 48224-2716
Phone 313-642-1410
Mailing address
16352 E Warren AveDetroit, MI 48224-2716
Phone 313-642-1410
Authorized official
Kirk Young
President
3136421410
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