Provider Demographics
NPI:1134237969
Name:VALERIE HOME HEALTH CARE SERVICES INC.
Entity type:Organization
Organization Name:VALERIE HOME HEALTH CARE SERVICES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OPERATIONS
Authorized Official - Prefix:PROF
Authorized Official - First Name:EGERTON
Authorized Official - Middle Name:OKOYAMA
Authorized Official - Last Name:ABULU
Authorized Official - Suffix:SR
Authorized Official - Credentials:BSC, MSC, MBA, PHD
Authorized Official - Phone:248-539-9887
Mailing Address - Street 1:30445 NORTHWESTERN HWY
Mailing Address - Street 2:130
Mailing Address - City:FARMINGTON HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48334-3158
Mailing Address - Country:US
Mailing Address - Phone:248-539-9884
Mailing Address - Fax:248-539-9883
Practice Address - Street 1:30445 NORTHWESTERN HWY
Practice Address - Street 2:130
Practice Address - City:FARMINGTON HILLS
Practice Address - State:MI
Practice Address - Zip Code:48334-3158
Practice Address - Country:US
Practice Address - Phone:248-539-9884
Practice Address - Fax:248-539-9883
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-29
Last Update Date:2018-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI=========OtherEIN