Provider Demographics
NPI:1578237855
Name:MEDCO HOME CARE, INC.
Entity Type:Organization
Organization Name:MEDCO HOME CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:MARGIE
Authorized Official - Middle Name:
Authorized Official - Last Name:KELLY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-425-6600
Mailing Address - Street 1:501 W MITCHELL ST STE 3
Mailing Address - Street 2:
Mailing Address - City:PETOSKEY
Mailing Address - State:MI
Mailing Address - Zip Code:49770-4209
Mailing Address - Country:US
Mailing Address - Phone:248-310-1236
Mailing Address - Fax:
Practice Address - Street 1:501 W MITCHELL ST STE 3
Practice Address - Street 2:
Practice Address - City:PETOSKEY
Practice Address - State:MI
Practice Address - Zip Code:49770-4209
Practice Address - Country:US
Practice Address - Phone:248-310-1236
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-02
Last Update Date:2021-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health