Provider Demographics
NPI:1356183123
Name:MALKI'S CARE
Entity type:Organization
Organization Name:MALKI'S CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LAILA
Authorized Official - Middle Name:
Authorized Official - Last Name:MALKI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:313-463-0267
Mailing Address - Street 1:3606 E 14 MILE RD
Mailing Address - Street 2:
Mailing Address - City:WARREN
Mailing Address - State:MI
Mailing Address - Zip Code:48092-1075
Mailing Address - Country:US
Mailing Address - Phone:313-463-0267
Mailing Address - Fax:
Practice Address - Street 1:22274 DALE ALLEN ST
Practice Address - Street 2:
Practice Address - City:CLINTON TWP
Practice Address - State:MI
Practice Address - Zip Code:48035-1802
Practice Address - Country:US
Practice Address - Phone:313-463-0267
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-11
Last Update Date:2024-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care