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NPI Code Detail

MEDICARE: GOOD PLAN HOMECARE LLC

MEDICARE: GOOD PLAN HOMECARE 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
1253Z00000XIn Home Supportive Care Agency

General Provider Information

NPI Number : 1932848553
Entity Type Code : Organization
Provider Name (Legal Business Name) : GOOD PLAN HOMECARE LLC
Provider Business Mailing Address
First Line : 643 JOHN R RD
Second Line :
City : ROCHESTER HILLS
State : MI
Zip : 48307-2352
Country : US
Telephone Number : 313-576-7742
Fax Number :
Provider Business Practice Location Address
First Line : 643 JOHN R RD
Second Line :
City : ROCHESTER HILLS
State : MI
Zip : 48307-2352
Country : US
Telephone Number : 313-576-7742
Fax Number :
Authorized Official
Title or Position : OWNER
Name : ZIAD KHALEL
Credential :
Telephone Number : 313-576-7742
Provider Enumeration Date : 06/01/2022
Last Update Date : 06/01/2022

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Directions to “GOOD PLAN HOMECARE LLC ” Practice Location

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