Provider Demographics
NPI:1831416494
Name:EASTERN HOME HEALTH CARE INC
Entity type:Organization
Organization Name:EASTERN HOME HEALTH CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:TAHIR
Authorized Official - Middle Name:AZIZ
Authorized Official - Last Name:MOHAMMAD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:734-709-0058
Mailing Address - Street 1:9477 N TERRITORIAL RD
Mailing Address - Street 2:STE 111
Mailing Address - City:DEXTER
Mailing Address - State:MI
Mailing Address - Zip Code:48130-8583
Mailing Address - Country:US
Mailing Address - Phone:734-424-0160
Mailing Address - Fax:866-496-5979
Practice Address - Street 1:9477 N TERRITORIAL RD
Practice Address - Street 2:STE 111
Practice Address - City:DEXTER
Practice Address - State:MI
Practice Address - Zip Code:48130-8583
Practice Address - Country:US
Practice Address - Phone:734-424-0160
Practice Address - Fax:866-496-5979
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-22
Last Update Date:2010-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health