Provider Demographics
NPI:1942826805
Name:EW HOME CARE CORP
Entity Type:Organization
Organization Name:EW HOME CARE CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:EDWIN
Authorized Official - Middle Name:
Authorized Official - Last Name:WUDYKA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-952-9944
Mailing Address - Street 1:44004 WOODWARD AVE STE 100
Mailing Address - Street 2:
Mailing Address - City:BLOOMFIELD HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48302-5034
Mailing Address - Country:US
Mailing Address - Phone:248-952-9944
Mailing Address - Fax:248-952-9947
Practice Address - Street 1:44004 WOODWARD AVE STE 100
Practice Address - Street 2:
Practice Address - City:BLOOMFIELD HILLS
Practice Address - State:MI
Practice Address - Zip Code:48302-5034
Practice Address - Country:US
Practice Address - Phone:248-952-9944
Practice Address - Fax:248-952-9947
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-17
Last Update Date:2020-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health