MEDICARE: MICHIGAN HOME CARE INC

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	:	1588895478
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MICHIGAN HOME CARE INC

Provider Business Mailing Address
First Line	:	31555 W 14 MILE RD STE 107
Second Line	:
City	:	FARMINGTON HILLS
State	:	MI
Zip	:	48334-1286
Country	:	US
Telephone Number	:	248-730-7353
Fax Number	:	186-665-4665

Provider Business Practice Location Address
First Line	:	31555 W 14 MILE RD STE 107
Second Line	:
City	:	FARMINGTON HILLS
State	:	MI
Zip	:	48334-1286
Country	:	US
Telephone Number	:	248-730-7353
Fax Number	:	186-665-4665

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MAHWISH ALAM
Credential	:
Telephone Number	:	248-730-7353

Provider Enumeration Date	:	07/27/2009
Last Update Date	:	09/09/2009

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