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NPI Code Detail

MEDICARE: PRO WELL GROUP LLC

MEDICARE: PRO WELL GROUP LLC
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
1251E00000XHome Health Agency

General Provider Information

NPI Number : 1295687929
Entity Type Code : Organization
Provider Name (Legal Business Name) : PRO WELL GROUP LLC
Provider Business Mailing Address
First Line : 42277 LOCKLIN DR
Second Line :
City : STERLING HEIGHTS
State : MI
Zip : 48314-2823
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 42277 LOCKLIN DR
Second Line :
City : STERLING HEIGHTS
State : MI
Zip : 48314-2823
Country : US
Telephone Number : 586-604-0417
Fax Number :
Authorized Official
Title or Position : OWNER
Name : IBRAHEEM KARCHO
Credential :
Telephone Number : 586-604-0417
Provider Enumeration Date : 02/13/2026
Last Update Date : 02/13/2026

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Directions to “PRO WELL GROUP LLC ” Practice Location

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