Provider Demographics
NPI:1063013225
Name:M.I.C.H., INC.
Entity Type:Organization
Organization Name:M.I.C.H., INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:BATTERSBY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:313-647-9682
Mailing Address - Street 1:20100 MACK AVE
Mailing Address - Street 2:
Mailing Address - City:GROSSE POINTE WOODS
Mailing Address - State:MI
Mailing Address - Zip Code:48236-1895
Mailing Address - Country:US
Mailing Address - Phone:313-647-9682
Mailing Address - Fax:313-647-0434
Practice Address - Street 1:20100 MACK AVE
Practice Address - Street 2:
Practice Address - City:GROSSE POINTE WOODS
Practice Address - State:MI
Practice Address - Zip Code:48236-1895
Practice Address - Country:US
Practice Address - Phone:313-647-9682
Practice Address - Fax:313-647-0434
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-04
Last Update Date:2020-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health