MEDICARE: DETROIT HOME HEALTH CARE, INC.

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
1	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1548336357
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DETROIT HOME HEALTH CARE, INC.

Provider Business Mailing Address
First Line	:	26000 5 MILE RD
Second Line	:	SUITE# 110
City	:	REDFORD
State	:	MI
Zip	:	48239-3236
Country	:	US
Telephone Number	:	313-255-9915
Fax Number	:	313-255-9916

Provider Business Practice Location Address
First Line	:	26000 5 MILE RD
Second Line	:	SUITE# 110
City	:	REDFORD
State	:	MI
Zip	:	48239-3236
Country	:	US
Telephone Number	:	313-255-9915
Fax Number	:	313-255-9916

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. ADEL M IQBAL
Credential	:	DPT
Telephone Number	:	313-255-9915

Provider Enumeration Date	:	11/27/2006
Last Update Date	:	05/23/2015

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