MEDICARE: HEALTH LAND CARE COORDINATION 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	251B00000X	Case Management Agency

General Provider Information

NPI Number	:	1770423303
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEALTH LAND CARE COORDINATION LLC

Provider Business Mailing Address
First Line	:	21294 OSMUS ST
Second Line	:
City	:	FARMINGTON HILLS
State	:	MI
Zip	:	48336-5237
Country	:	US
Telephone Number	:	248-971-9005
Fax Number	:	248-971-9005

Provider Business Practice Location Address
First Line	:	21294 OSMUS ST
Second Line	:
City	:	FARMINGTON HILLS
State	:	MI
Zip	:	48336-5237
Country	:	US
Telephone Number	:	248-971-9005
Fax Number	:	248-971-9005

Authorized Official
Title or Position	:	DIRECTOR
Name	:	DANIELLE LANDERS
Credential	:	JD
Telephone Number	:	248-971-9005

Provider Enumeration Date	:	03/31/2026
Last Update Date	:	03/31/2026

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