Provider Demographics
NPI:1114956083
Name:WELLNESS HOME HEALTH CARE ,INC
Entity Type:Organization
Organization Name:WELLNESS HOME HEALTH CARE ,INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:SUDHAGAR
Authorized Official - Middle Name:
Authorized Official - Last Name:MUTHURAJAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-342-0600
Mailing Address - Street 1:26711 WOODWARD AVE
Mailing Address - Street 2:204
Mailing Address - City:HUNTINGTON WOODS
Mailing Address - State:MI
Mailing Address - Zip Code:48070-1333
Mailing Address - Country:US
Mailing Address - Phone:248-545-5900
Mailing Address - Fax:248-545-5999
Practice Address - Street 1:26711 WOODWARD AVE
Practice Address - Street 2:204
Practice Address - City:HUNTINGTON WOODS
Practice Address - State:MI
Practice Address - Zip Code:48070-1333
Practice Address - Country:US
Practice Address - Phone:248-545-5900
Practice Address - Fax:248-545-5999
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-02
Last Update Date:2008-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health