Provider Demographics
NPI:1750675559
Name:INIJ HOME HEALTH CARE INC
Entity Type:Organization
Organization Name:INIJ HOME HEALTH CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:FARZANA
Authorized Official - Middle Name:Z
Authorized Official - Last Name:HARIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:313-388-5580
Mailing Address - Street 1:3783 FORT ST
Mailing Address - Street 2:
Mailing Address - City:LINCOLN PARK
Mailing Address - State:MI
Mailing Address - Zip Code:48146-4118
Mailing Address - Country:US
Mailing Address - Phone:313-388-5580
Mailing Address - Fax:313-388-5582
Practice Address - Street 1:3783 FORT ST
Practice Address - Street 2:
Practice Address - City:LINCOLN PARK
Practice Address - State:MI
Practice Address - Zip Code:48146-4118
Practice Address - Country:US
Practice Address - Phone:313-388-5580
Practice Address - Fax:313-388-5582
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-09
Last Update Date:2011-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health