Provider Demographics
NPI:1235431156
Name:COMPLETE HOME SERVICES GROUP INC
Entity Type:Organization
Organization Name:COMPLETE HOME SERVICES GROUP INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:VONDELL
Authorized Official - Middle Name:
Authorized Official - Last Name:BOYER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:313-957-9434
Mailing Address - Street 1:20000 ALCOY ST
Mailing Address - Street 2:
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48205-1119
Mailing Address - Country:US
Mailing Address - Phone:313-957-9434
Mailing Address - Fax:866-563-9212
Practice Address - Street 1:20000 ALCOY ST
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48205-1119
Practice Address - Country:US
Practice Address - Phone:313-957-9434
Practice Address - Fax:866-563-9212
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-11-29
Last Update Date:2010-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care