King Home Health Care LLC
Home Health in Southfield, MI. Organization (NPI-2).
NPI number1831967413
StatusActive
Last updated in NPPESDec 18, 2023
Details
- NPI
- 1831967413
- Entity type
- Organization (NPI-2)
- Legal business name
- King Home Health Care LLC
- Organization subpart
- No
- Enumeration date
- Dec 13, 2023
- Certification date
- Dec 18, 2023
- Last updated
- Dec 18, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251E00000X | Home Health | – | – | Yes |
Practice location
17125 W 12 Mile RdSouthfield, MI 48076-2104
Phone 586-446-2230
Mailing address
17125 W 12 Mile RdSouthfield, MI 48076-2104
Authorized official
Mohamed Jassim
Ceo
5864462230
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