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NPI Code Detail

MEDICARE: UNBOUND LLC

MEDICARE: UNBOUND 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
1251E00000XHome Health Agency

General Provider Information

NPI Number : 1942131016
Entity Type Code : Organization
Provider Name (Legal Business Name) : UNBOUND LLC
Provider Business Mailing Address
First Line : 10827 SOMERSET AVE
Second Line :
City : DETROIT
State : MI
Zip : 48224-1772
Country : US
Telephone Number : 313-623-9646
Fax Number :
Provider Business Practice Location Address
First Line : 13361 MAIDEN ST
Second Line :
City : DETROIT
State : MI
Zip : 48213-2022
Country : US
Telephone Number : 313-623-9646
Fax Number : 313-623-9646
Authorized Official
Title or Position : OWNER
Name : ELTON ANTOINE MCLAUGHLIN
Credential :
Telephone Number : 313-623-9646
Provider Enumeration Date : 05/27/2026
Last Update Date : 05/27/2026

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Directions to “UNBOUND LLC ” Practice Location

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