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NPI Code Detail

MEDICARE: AMERICAN HERITAGE HOME HEALTH CARE

MEDICARE: AMERICAN HERITAGE HOME HEALTH CARE
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 AgencyB0158XMI

General Provider Information

NPI Number : 1346297728
Entity Type Code : Organization
Provider Name (Legal Business Name) : AMERICAN HERITAGE HOME HEALTH CARE
Provider Business Mailing Address
First Line : 27301 DEQUINDRE RD
Second Line : SUITE 214
City : MADISON HEIGHTS
State : MI
Zip : 48071-3473
Country : US
Telephone Number : 248-336-9643
Fax Number : 248-336-2564
Provider Business Practice Location Address
First Line : 27301 DEQUINDRE RD
Second Line : SUITE 214
City : MADISON HEIGHTS
State : MI
Zip : 48071-3473
Country : US
Telephone Number : 248-336-9643
Fax Number : 248-336-2564
Authorized Official
Title or Position : ADMINISTRATOR
Name : MR. RENE MATHESON
Credential :
Telephone Number : 248-336-9643
Provider Enumeration Date : 05/30/2006
Last Update Date : 08/22/2020

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Directions to “AMERICAN HERITAGE HOME HEALTH CARE ” Practice Location

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