Healthcare Provider Details

I. General information

NPI: 1548987621
Provider Name (Legal Business Name): FAMILY FRIENDS HOME CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/20/2022
Last Update Date: 10/20/2022
Certification Date: 10/20/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

32238 SCHOOLCRAFT RD STE 154
LIVONIA MI
48150-4301
US

IV. Provider business mailing address

32238 SCHOOLCRAFT RD STE 154
LIVONIA MI
48150-4301
US

V. Phone/Fax

Practice location:
  • Phone: 248-949-0917
  • Fax:
Mailing address:
  • Phone: 248-949-0917
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State

VIII. Authorized Official

Name: NIKIA PRITCHARD
Title or Position: OWNER
Credential:
Phone: 248-949-0917