Provider Demographics
NPI:1134956824
Name:M & J HOME CARE SERVICES LLC
Entity type:Organization
Organization Name:M & J HOME CARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR/ PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:HYGINUS
Authorized Official - Middle Name:
Authorized Official - Last Name:EZEOKOBE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:734-834-8156
Mailing Address - Street 1:4539 PALISADES CT
Mailing Address - Street 2:
Mailing Address - City:YPSILANTI
Mailing Address - State:MI
Mailing Address - Zip Code:48197-7504
Mailing Address - Country:US
Mailing Address - Phone:734-834-8156
Mailing Address - Fax:
Practice Address - Street 1:28910 BIRCHWOOD ST
Practice Address - Street 2:
Practice Address - City:INKSTER
Practice Address - State:MI
Practice Address - Zip Code:48141-1112
Practice Address - Country:US
Practice Address - Phone:734-895-6096
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-17
Last Update Date:2024-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253J00000XAgenciesFoster Care Agency