Healthcare Provider Details

I. General information

NPI: 1932898319
Provider Name (Legal Business Name): LIMRO HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/02/2023
Last Update Date: 05/02/2023
Certification Date: 05/02/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

102 TIMBERVIEW DR APT 59
ROCHESTER HILLS MI
48307-4151
US

IV. Provider business mailing address

PO BOX 445
WALLED LAKE MI
48390-0445
US

V. Phone/Fax

Practice location:
  • Phone: 248-277-2488
  • Fax:
Mailing address:
  • Phone: 248-277-2488
  • 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 Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: ROSELINE LIKINE
Title or Position: CEO
Credential:
Phone: 248-277-2488