MEDICARE: METRO HOME HEALTH CARE NETWORK, 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	NA	MI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1972506525
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	METRO HOME HEALTH CARE NETWORK, INC

Provider Business Mailing Address
First Line	:	15350 N COMMERCE DR
Second Line	:	STE 100
City	:	DEARBORN
State	:	MI
Zip	:	48120-1291
Country	:	US
Telephone Number	:	313-336-6303
Fax Number	:	313-336-6313

Provider Business Practice Location Address
First Line	:	15350 N COMMERCE DR
Second Line	:	STE 100
City	:	DEARBORN
State	:	MI
Zip	:	48120-1291
Country	:	US
Telephone Number	:	313-336-6303
Fax Number	:	313-271-2748

Authorized Official
Title or Position	:	PRESIDENT/ADMINISTRATOR
Name	:	MR. MICHAEL B. HALL
Credential	:
Telephone Number	:	313-336-6303

Provider Enumeration Date	:	05/27/2005
Last Update Date	:	01/15/2010

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