MEDICARE: ALATOR HOME HEALTH OF EASTERN MICHIGAN, 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	:	1700124518
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALATOR HOME HEALTH OF EASTERN MICHIGAN, INC

Provider Business Mailing Address
First Line	:	2843 E GRAND RIVER AVE # 260
Second Line	:
City	:	EAST LANSING
State	:	MI
Zip	:	48823-6722
Country	:	US
Telephone Number	:	517-206-1388
Fax Number	:

Provider Business Practice Location Address
First Line	:	2843 E GRAND RIVER AVE # 260
Second Line	:
City	:	EAST LANSING
State	:	MI
Zip	:	48823-6722
Country	:	US
Telephone Number	:	517-206-1388
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	MR. ASHER JAVAID BASHIR
Credential	:	J.D.
Telephone Number	:	517-206-1388

Provider Enumeration Date	:	01/29/2013
Last Update Date	:	01/29/2013

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