Organization · NPI-2

Doctors Home Care Management

Health Maintenance Organization · Detroit, MI

NPI number1780977660
StatusActive
Last updated in NPPESMay 25, 2011

Details

NPI
1780977660
Entity type
Organization (NPI-2)
Legal business name
Doctors Home Care Management
Organization subpart
No
Enumeration date
May 25, 2011
Last updated
May 25, 2011

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
302R00000X Health Maintenance Organization–MIYes

Practice location

15822 Fairfield St
Detroit, MI 48238-4119

Phone 313-850-6761 · Fax 248-968-5958

Mailing address

15822 Fairfield St
Detroit, MI 48238

Phone 313-850-6761 · Fax 248-968-5958

Authorized official

Timothy Rogers
Administrator
3138506761

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