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NPI Code Detail

MEDICARE: IN-HOME HELP AGENCY LLC

MEDICARE: IN-HOME HELP AGENCY 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
1251S00000XCommunity/Behavioral Health Agency
2253Z00000XIn Home Supportive Care Agency7908906MI

Other Identifiers

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

General Provider Information

NPI Number : 1982062394
Entity Type Code : Organization
Provider Name (Legal Business Name) : IN-HOME HELP AGENCY LLC
Provider Business Mailing Address
First Line : 8904 WOODWARD AVE
Second Line :
City : DETROIT
State : MI
Zip : 48202-1821
Country : US
Telephone Number : 248-416-8332
Fax Number :
Provider Business Practice Location Address
First Line : 8904 WOODWARD AVE
Second Line :
City : DETROIT
State : MI
Zip : 48202-1821
Country : US
Telephone Number : 248-416-8332
Fax Number :
Authorized Official
Title or Position : OWNER/CEO
Name : MR. KOKOETE ETIM
Credential :
Telephone Number : 248-416-8332
Provider Enumeration Date : 02/01/2016
Last Update Date : 02/13/2016

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Directions to “IN-HOME HELP AGENCY LLC ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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