Provider Demographics
NPI:1417642877
Name:THE MICHOU CORPORATION
Entity Type:Organization
Organization Name:THE MICHOU CORPORATION
Other - Org Name:ACTIKARE RESPONSIVE IN-HOME CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MYRNA
Authorized Official - Middle Name:
Authorized Official - Last Name:CESAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:678-559-5887
Mailing Address - Street 1:415 DELANCY DR
Mailing Address - Street 2:
Mailing Address - City:WOODSTOCK
Mailing Address - State:GA
Mailing Address - Zip Code:30189-5172
Mailing Address - Country:US
Mailing Address - Phone:678-559-5887
Mailing Address - Fax:
Practice Address - Street 1:415 DELANCY DR
Practice Address - Street 2:
Practice Address - City:WOODSTOCK
Practice Address - State:GA
Practice Address - Zip Code:30189-5172
Practice Address - Country:US
Practice Address - Phone:678-559-5887
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-10
Last Update Date:2023-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care