Provider Demographics
NPI:1033726401
Name:MAITLAND HOMECARE SERVICES & STAFFING
Entity Type:Organization
Organization Name:MAITLAND HOMECARE SERVICES & STAFFING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:PHID
Authorized Official - Middle Name:CHIJIOKE
Authorized Official - Last Name:ONWUZURIKE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-623-8400
Mailing Address - Street 1:6060 DIXIE HWY STE A
Mailing Address - Street 2:
Mailing Address - City:CLARKSTON
Mailing Address - State:MI
Mailing Address - Zip Code:48346-3476
Mailing Address - Country:US
Mailing Address - Phone:248-599-7272
Mailing Address - Fax:248-623-8448
Practice Address - Street 1:6060 DIXIE HWY STE A
Practice Address - Street 2:
Practice Address - City:CLARKSTON
Practice Address - State:MI
Practice Address - Zip Code:48346-3476
Practice Address - Country:US
Practice Address - Phone:248-623-8426
Practice Address - Fax:248-623-8448
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-29
Last Update Date:2021-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health