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NPI Code Detail

MEDICARE: DEBORAH CARE LLC

MEDICARE: DEBORAH CARE LLC
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
1376J00000XHomemaker
23747P1801XPersonal Care Attendant
3171M00000XCase Manager/Care Coordinator
4253Z00000XIn Home Supportive Care Agency

General Provider Information

NPI Number : 1740043074
Entity Type Code : Organization
Provider Name (Legal Business Name) : DEBORAH CARE LLC
Provider Business Mailing Address
First Line : 145 E SWEDESFORD RD # 1043
Second Line :
City : WAYNE
State : PA
Zip : 19087-1455
Country : US
Telephone Number : 313-385-7566
Fax Number :
Provider Business Practice Location Address
First Line : 400 RENAISSANCE CENTER
Second Line : SUITE #2600
City : DETROIT
State : MI
Zip : 48243-1599
Country : US
Telephone Number : 313-385-7566
Fax Number :
Authorized Official
Title or Position : ADMINISTRATOR
Name : KHADIRAH HARPER
Credential :
Telephone Number : 313-385-7566
Provider Enumeration Date : 01/31/2024
Last Update Date : 03/12/2026

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Directions to “DEBORAH CARE LLC ” Practice Location

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