Healthcare Provider Details

I. General information

NPI: 1730220716
Provider Name (Legal Business Name): LIBERTY HOME CARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/10/2007
Last Update Date: 04/01/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

37799 PROFESSIONAL CENTER DR STE 103
LIVONIA MI
48154-1153
US

IV. Provider business mailing address

37799 PROFESSIONAL CENTER DR STE 103
LIVONIA MI
48154-1153
US

V. Phone/Fax

Practice location:
  • Phone: 734-942-7660
  • Fax: 734-942-7662
Mailing address:
  • Phone: 734-942-7660
  • Fax: 734-942-7662

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MS. MEENA NAIDU
Title or Position: PRESIDENT
Credential:
Phone: 734-942-7660