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NPI Code Detail

MEDICARE: AMAZING GRACE HOME CARE

MEDICARE: AMAZING GRACE HOME CARE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251E00000XHome Health Agency

General Provider Information

NPI Number : 1346972130
Entity Type Code : Organization
Provider Name (Legal Business Name) : AMAZING GRACE HOME CARE
Provider Business Mailing Address
First Line : 1130 TIENKEN CT STE 217
Second Line :
City : ROCHESTER HILLS
State : MI
Zip : 48306-4370
Country : US
Telephone Number : 248-266-6777
Fax Number :
Provider Business Practice Location Address
First Line : 1130 TIENKEN CT STE 217
Second Line :
City : ROCHESTER HILLS
State : MI
Zip : 48306-4370
Country : US
Telephone Number : 248-266-6777
Fax Number :
Authorized Official
Title or Position : CEO
Name : SUSAN SAVAYA
Credential :
Telephone Number : 586-405-4493
Provider Enumeration Date : 06/29/2022
Last Update Date : 06/29/2022

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Directions to “AMAZING GRACE HOME CARE ” Practice Location

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