Healthcare Provider Details

I. General information

NPI: 1346753068
Provider Name (Legal Business Name): KAREN'S HELPING HANDS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/16/2017
Last Update Date: 11/16/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4425 HIGH ST
ECORSE MI
48229-1583
US

IV. Provider business mailing address

4425 HIGH ST
ECORSE MI
48229-1583
US

V. Phone/Fax

Practice location:
  • Phone: 313-282-6158
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code311ZA0620X
TaxonomyAdult Care Home Facility
License Number
License Number State

VIII. Authorized Official

Name: MR. KAREN GORETA
Title or Position: ADMINISTATOR
Credential:
Phone: 313-282-6158