Healthcare Provider Details

I. General information

NPI: 1538552005
Provider Name (Legal Business Name): AT HOME COMPANIONS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/09/2015
Last Update Date: 03/09/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1150 GARDEN ST
LAKE LINDEN MI
49945-1292
US

IV. Provider business mailing address

1150 GARDEN ST
LAKE LINDEN MI
49945-1292
US

V. Phone/Fax

Practice location:
  • Phone: 906-369-3884
  • Fax: 906-396-2006
Mailing address:
  • Phone: 906-369-3884
  • Fax: 906-396-2006

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: MS. LINETTE ABB
Title or Position: CEO
Credential:
Phone: 906-369-3884