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NPI Code Detail

MEDICARE: TRI COUNTY HOME HELP LLC

MEDICARE: TRI COUNTY HOME HELP 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
1251B00000XCase Management Agency7579693MI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1932578317
Entity Type Code : Organization
Provider Name (Legal Business Name) : TRI COUNTY HOME HELP LLC
Provider Business Mailing Address
First Line : 17810 E WARREN AVE
Second Line :
City : DETROIT
State : MI
Zip : 48224-1332
Country : US
Telephone Number : 313-656-8612
Fax Number : 313-640-1695
Provider Business Practice Location Address
First Line : 17810 E WARREN AVE
Second Line :
City : DETROIT
State : MI
Zip : 48224-1332
Country : US
Telephone Number : 313-656-8612
Fax Number : 313-640-1695
Authorized Official
Title or Position : OWNER
Name : STEPHEN HILL
Credential :
Telephone Number : 313-656-8612
Provider Enumeration Date : 09/16/2015
Last Update Date : 09/16/2015

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Directions to “TRI COUNTY HOME HELP LLC ” Practice Location

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