Provider Demographics
NPI:1417293804
Name:MAPLE HOME HEALTH CARE, INC.
Entity Type:Organization
Organization Name:MAPLE HOME HEALTH CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:HAFIZ
Authorized Official - Middle Name:A
Authorized Official - Last Name:ANJUM
Authorized Official - Suffix:
Authorized Official - Credentials:DPT, RPT
Authorized Official - Phone:248-967-3100
Mailing Address - Street 1:23300 GREENFIELD RD STE 219
Mailing Address - Street 2:
Mailing Address - City:OAK PARK
Mailing Address - State:MI
Mailing Address - Zip Code:48237-8411
Mailing Address - Country:US
Mailing Address - Phone:248-967-3100
Mailing Address - Fax:248-967-3101
Practice Address - Street 1:23300 GREENFIELD RD STE 219
Practice Address - Street 2:
Practice Address - City:OAK PARK
Practice Address - State:MI
Practice Address - Zip Code:48237-8411
Practice Address - Country:US
Practice Address - Phone:248-967-3100
Practice Address - Fax:248-967-3101
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-12-12
Last Update Date:2012-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health