MEDICARE: SOLUTIONS HOME CARE OF MICHIGAN 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	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1740957869
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SOLUTIONS HOME CARE OF MICHIGAN LLC

Provider Business Mailing Address
First Line	:	15090 HOLMUR ST
Second Line	:
City	:	DETROIT
State	:	MI
Zip	:	48238-2144
Country	:	US
Telephone Number	:	313-978-8876
Fax Number	:

Provider Business Practice Location Address
First Line	:	19965 WARRINGTON DR
Second Line	:
City	:	DETROIT
State	:	MI
Zip	:	48221-1825
Country	:	US
Telephone Number	:	313-978-8876
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MR. ROBERT H BALL III
Credential	:
Telephone Number	:	313-978-8876

Provider Enumeration Date	:	08/26/2021
Last Update Date	:	08/26/2021

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