Healthcare Provider Details

I. General information

NPI: 1497095897
Provider Name (Legal Business Name): EXFINITY HOME CARE INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/21/2013
Last Update Date: 02/21/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

24450 EVERGREEN RD SUITE 207
SOUTHFIELD MI
48075-5518
US

IV. Provider business mailing address

24450 EVERGREEN RD SUITE 207
SOUTHFIELD MI
48075-5518
US

V. Phone/Fax

Practice location:
  • Phone: 248-302-2535
  • Fax:
Mailing address:
  • Phone: 248-302-2535
  • 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: MR. TARI EFEBO
Title or Position: CEO
Credential:
Phone: 248-302-2535