Organization · NPI-2

1st Assistant Home Health Services LLC

Home Health · Southfield, MI

NPI number1972017499
StatusActive
Last updated in NPPESSep 30, 2019

Details

NPI
1972017499
Entity type
Organization (NPI-2)
Legal business name
1st Assistant Home Health Services LLC
Organization subpart
No
Enumeration date
Nov 20, 2017
Last updated
Sep 30, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251E00000X Home Health––Yes

Practice location

25820 Southfield Rd Ste 209a
Southfield, MI 48075-1826

Phone 314-503-0062

Mailing address

25820 Southfield Rd Ste 209
Southfield, MI 48075-1828

Authorized official

Kelly Butler
Executive Director
3145030062

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