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NPI Code Detail

MEDICARE: THE GIUSEPPE HOUSE LLC

MEDICARE: THE GIUSEPPE HOUSE 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
1251E00000XHome Health Agency
21041C0700XClinical Social Worker

General Provider Information

NPI Number : 1700694353
Entity Type Code : Organization
Provider Name (Legal Business Name) : THE GIUSEPPE HOUSE LLC
Provider Business Mailing Address
First Line : 17191 EDWARDS AVE
Second Line :
City : SOUTHFIELD
State : MI
Zip : 48076-2034
Country : US
Telephone Number : 248-533-1230
Fax Number :
Provider Business Practice Location Address
First Line : 13000 W 7 MILE RD
Second Line :
City : DETROIT
State : MI
Zip : 48235-1335
Country : US
Telephone Number : 248-533-1230
Fax Number :
Authorized Official
Title or Position : OWNER
Name : MRS. JACQUELYNN BRADSHAW
Credential :
Telephone Number : 248-533-1230
Provider Enumeration Date : 12/27/2024
Last Update Date : 05/28/2026

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Directions to “THE GIUSEPPE HOUSE LLC ” Practice Location

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