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NPI Code Detail

MEDICARE: ADVANCE AMERICAN HOME HEALTH CARE LLC

MEDICARE: ADVANCE AMERICAN HOME HEALTH CARE 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

General Provider Information

NPI Number : 1891021341
Entity Type Code : Organization
Provider Name (Legal Business Name) : ADVANCE AMERICAN HOME HEALTH CARE LLC
Provider Business Mailing Address
First Line : 2631 HOLLYWOOD ST
Second Line :
City : DEARBORN
State : MI
Zip : 48124-4174
Country : US
Telephone Number : 586-530-5108
Fax Number : 248-336-8692
Provider Business Practice Location Address
First Line : 2631 HOLLYWOOD ST
Second Line :
City : DEARBORN
State : MI
Zip : 48124-4174
Country : US
Telephone Number : 586-530-5108
Fax Number : 248-336-8692
Authorized Official
Title or Position : DIRECTOR/CEO
Name : MR. MUSHTAQ HUSSAIN
Credential :
Telephone Number : 586-530-5108
Provider Enumeration Date : 10/19/2009
Last Update Date : 10/19/2009

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Directions to “ADVANCE AMERICAN HOME HEALTH CARE LLC ” Practice Location

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