MEDICARE: WB HOME HEALTH CARE 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
1	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1396021028
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WB HOME HEALTH CARE LLC

Provider Business Mailing Address
First Line	:	6420 FARMINGTON RD
Second Line	:	SUITE 106
City	:	WEST BLOOMFIELD
State	:	MI
Zip	:	48322-2276
Country	:	US
Telephone Number	:	248-254-8850
Fax Number	:	248-203-4148

Provider Business Practice Location Address
First Line	:	6420 FARMINGTON RD
Second Line	:	SUITE 106
City	:	WEST BLOOMFIELD
State	:	MI
Zip	:	48322-2276
Country	:	US
Telephone Number	:	248-254-8850
Fax Number	:	248-203-4148

Authorized Official
Title or Position	:	OWNER
Name	:	MR. GENE FARBER
Credential	:
Telephone Number	:	248-254-8850

Provider Enumeration Date	:	10/26/2011
Last Update Date	:	10/26/2011

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Directions to “WB HOME HEALTH CARE LLC ” Practice Location

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