Healthcare Provider Details

I. General information

NPI: 1992188494
Provider Name (Legal Business Name): DHS HOME HELP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/01/2015
Last Update Date: 07/01/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4401 HARRIET ST 2B
INKSTER MI
48141-2999
US

IV. Provider business mailing address

4401 HARRIET ST 2B
INKSTER MI
48141-2999
US

V. Phone/Fax

Practice location:
  • Phone: 313-799-4773
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MISS KIARA LUCAS
Title or Position: HOMEHELP
Credential:
Phone: 313-799-4773