MEDICARE: REYMAC HOME HEALTHCARE LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	251S00000X	Community/Behavioral Health Agency
2	253Z00000X	In Home Supportive Care Agency
3	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1477110054
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	REYMAC HOME HEALTHCARE LLC

Provider Business Mailing Address
First Line	:	13030 W 7 MILE RD
Second Line	:
City	:	DETROIT
State	:	MI
Zip	:	48235-1335
Country	:	US
Telephone Number	:	313-416-9000
Fax Number	:

Provider Business Practice Location Address
First Line	:	13030 W 7 MILE RD
Second Line	:
City	:	DETROIT
State	:	MI
Zip	:	48235-1335
Country	:	US
Telephone Number	:	313-416-9000
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	GEORGE REYNOLDS
Credential	:
Telephone Number	:	313-416-9000

Provider Enumeration Date	:	05/20/2019
Last Update Date	:	06/10/2019

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