MEDICARE: NOUR J EL-ACHKAR

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	374U00000X	Home Health Aide		MI

General Provider Information

NPI Number	:	1235981267
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NOUR J EL-ACHKAR

Provider Business Mailing Address
First Line	:	2866 SALINA ST
Second Line	:
City	:	DEARBORN
State	:	MI
Zip	:	48120-1590
Country	:	US
Telephone Number	:	313-243-6858
Fax Number	:

Provider Business Practice Location Address
First Line	:	2866 SALINA ST
Second Line	:
City	:	DEARBORN
State	:	MI
Zip	:	48120-1590
Country	:	US
Telephone Number	:	313-243-6858
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/03/2024
Last Update Date	:	04/03/2024

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Directions to “ NOUR J EL-ACHKAR ” Practice Location

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