Organization · NPI-2

Homecare Physical Therapy Of Michigan LLC

Physical Therapist · Farmington Hills, MI

NPI number1760195465

StatusActive

Last updated in NPPESJan 24, 2023

Details

NPI: 1760195465
Entity type: Organization (NPI-2)
Legal business name: Homecare Physical Therapy Of Michigan LLC
Organization subpart: No
Enumeration date: Dec 28, 2022
Certification date: Jan 24, 2023
Last updated: Jan 24, 2023

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
225100000X	Physical Therapist	–	–	Yes
332U00000X	Home Delivered Meals	–	–
374U00000X	Home Health Aide	–	–
376J00000X	Homemaker	–	–
251E00000X	Home Health	–	–
253Z00000X	In Home Supportive Care	–	–
261QP2000X	Clinic/Center, Physical Therapy	–	–

Practice location

31558 Orchard Crk
Farmington Hills, MI 48334-1323

Phone 248-929-2543

Mailing address

31558 Orchard Crk
Farmington Hills, MI 48334-1323

Phone 248-929-2543

Authorized official

Dean Mechael
Owner
2489292543

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