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NPI Code Detail

MEDICARE: HOLY CROSS CARENET INC

MEDICARE: HOLY CROSS CARENET INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1332BP3500XParenteral & Enteral Nutrition Supplies (DME)
2332BN1400XNursing Facility Supplies (DME)15-071 15633MD

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1124117023
Entity Type Code : Organization
Provider Name (Legal Business Name) : HOLY CROSS CARENET INC
Provider Business Mailing Address
First Line : PO BOX 9184
Second Line :
City : FARMINGTON HILLS
State : MI
Zip : 48333-9184
Country : US
Telephone Number : 248-305-7919
Fax Number : 248-305-7677
Provider Business Practice Location Address
First Line : 3415 GREENCASTLE RD
Second Line :
City : BURTONSVILLE
State : MD
Zip : 20866-1715
Country : US
Telephone Number : 301-388-1400
Fax Number : 301-879-4512
Authorized Official
Title or Position : CEO
Name : JACKIE HARRIS
Credential :
Telephone Number : 248-305-7688
Provider Enumeration Date : 10/11/2006
Last Update Date : 06/26/2008

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Directions to “HOLY CROSS CARENET INC ” Practice Location

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