Provider Demographics
NPI:1932351814
Name:MI CHOICE HOME HEALTH CARE LLC
Entity Type:Organization
Organization Name:MI CHOICE HOME HEALTH CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:RUKHSANA
Authorized Official - Middle Name:
Authorized Official - Last Name:IMTIAZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:734-786-2700
Mailing Address - Street 1:24650 EUREKA RD STE 103
Mailing Address - Street 2:
Mailing Address - City:TAYLOR
Mailing Address - State:MI
Mailing Address - Zip Code:48180-5160
Mailing Address - Country:US
Mailing Address - Phone:734-786-2700
Mailing Address - Fax:
Practice Address - Street 1:24650 EUREKA RD STE 103
Practice Address - Street 2:
Practice Address - City:TAYLOR
Practice Address - State:MI
Practice Address - Zip Code:48180-5160
Practice Address - Country:US
Practice Address - Phone:734-786-2700
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-22
Last Update Date:2009-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health