Healthcare Provider Details

I. General information

NPI: 1255258711
Provider Name (Legal Business Name): HOLLIDAY CARE SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/03/2026
Last Update Date: 07/03/2026
Certification Date: 07/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

31044 ROSSLYN AVE
GARDEN CITY MI
48135-1368
US

IV. Provider business mailing address

31044 ROSSLYN AVE
GARDEN CITY MI
48135-1368
US

V. Phone/Fax

Practice location:
  • Phone: 313-465-0672
  • Fax:
Mailing address:
  • Phone: 313-465-0672
  • Fax: 313-465-0672

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MS. TRACY HOLLIDAY
Title or Position: OWNER
Credential:
Phone: 313-465-0672