Provider Demographics
NPI:1851651053
Name:ALL MICHIGAN CARE NETWORK INC
Entity Type:Organization
Organization Name:ALL MICHIGAN CARE NETWORK INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MOHAMMAD
Authorized Official - Middle Name:HARIS
Authorized Official - Last Name:KHALID
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:734-266-3664
Mailing Address - Street 1:15223 FARMINGTON RD
Mailing Address - Street 2:STE # 4
Mailing Address - City:LIVONIA
Mailing Address - State:MI
Mailing Address - Zip Code:48154-5411
Mailing Address - Country:US
Mailing Address - Phone:734-266-3664
Mailing Address - Fax:734-794-7159
Practice Address - Street 1:15223 FARMINGTON RD
Practice Address - Street 2:STE # 4
Practice Address - City:LIVONIA
Practice Address - State:MI
Practice Address - Zip Code:48154-5411
Practice Address - Country:US
Practice Address - Phone:734-266-3664
Practice Address - Fax:734-794-7159
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-05-21
Last Update Date:2012-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based