Provider Demographics
NPI:1659624567
Name:AT HOME CARE FOR YOU LLC
Entity Type:Organization
Organization Name:AT HOME CARE FOR YOU LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:WANDA
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:HESSE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:989-482-6632
Mailing Address - Street 1:2626 SALZBURG RD
Mailing Address - Street 2:
Mailing Address - City:FREELAND
Mailing Address - State:MI
Mailing Address - Zip Code:48623-9324
Mailing Address - Country:US
Mailing Address - Phone:877-570-5679
Mailing Address - Fax:888-618-8539
Practice Address - Street 1:2626 SALZBURG RD
Practice Address - Street 2:
Practice Address - City:FREELAND
Practice Address - State:MI
Practice Address - Zip Code:48623-9324
Practice Address - Country:US
Practice Address - Phone:877-570-5679
Practice Address - Fax:888-618-8539
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-10-17
Last Update Date:2012-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health