MEDICARE: BEST PRIVATE DUTY HEALTH 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
1	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1790190932
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BEST PRIVATE DUTY HEALTH CARE

Provider Business Mailing Address
First Line	:	6632 TELEGRAPH RD
Second Line	:	SUITE 249
City	:	BLOOMFIELD HILLS
State	:	MI
Zip	:	48301-3012
Country	:	US
Telephone Number	:	248-701-9607
Fax Number	:	810-714-5071

Provider Business Practice Location Address
First Line	:	6632 TELEGRAPH RD
Second Line	:	SUITE 249
City	:	BLOOMFIELD HILLS
State	:	MI
Zip	:	48301-3012
Country	:	US
Telephone Number	:	248-701-9607
Fax Number	:	810-714-5071

Authorized Official
Title or Position	:	OWNER
Name	:	JACOB BEST
Credential	:
Telephone Number	:	248-701-9601

Provider Enumeration Date	:	06/26/2014
Last Update Date	:	06/26/2014

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