MEDICARE: VALERIE HOME HEALTH CARE SERVICES 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
1	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1134237969
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VALERIE HOME HEALTH CARE SERVICES INC.

Provider Business Mailing Address
First Line	:	30445 NORTHWESTERN HWY
Second Line	:	130
City	:	FARMINGTON HILLS
State	:	MI
Zip	:	48334-3158
Country	:	US
Telephone Number	:	248-539-9884
Fax Number	:	248-539-9883

Provider Business Practice Location Address
First Line	:	30445 NORTHWESTERN HWY
Second Line	:	130
City	:	FARMINGTON HILLS
State	:	MI
Zip	:	48334-3158
Country	:	US
Telephone Number	:	248-539-9884
Fax Number	:	248-539-9883

Authorized Official
Title or Position	:	DIRECTOR OPERATIONS
Name	:	PROF. EGERTON OKOYAMA ABULU SR.
Credential	:	BSC, MSC, MBA, PH.D
Telephone Number	:	248-539-9887

Provider Enumeration Date	:	08/29/2006
Last Update Date	:	06/21/2018

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