Healthcare Provider Details

I. General information

NPI: 1184561797
Provider Name (Legal Business Name): EXQUISITE HOMECARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/01/2026
Last Update Date: 05/01/2026
Certification Date: 05/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25786 VALLEY CREEK DR APT 807
FLAT ROCK MI
48134-2842
US

IV. Provider business mailing address

25786 VALLEY CREEK DR APT 807
FLAT ROCK MI
48134-2842
US

V. Phone/Fax

Practice location:
  • Phone: 313-808-6280
  • Fax:
Mailing address:
  • Phone: 313-808-6280
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State

VIII. Authorized Official

Name: MARSHA CRAWFORD
Title or Position: OWNER
Credential:
Phone: 313-765-0388