| Home Mds L.l.c | |
|
17880 Farmington Rd Unit B Livonia MI 48152-3104 | |
| (734) 744-8560 | |
| (734) 744-8563 |
| Full Name | Home Mds L.l.c |
|---|---|
| Speciality | General Practice |
| Location | 17880 Farmington Rd, Livonia, Michigan |
| Authorized Official Name and Position | Fanny Aguirre Dela Cruz (ADMINISTRATIVE DIRECTOR) |
| Authorized Official Contact | 7347448560 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Home Mds L.l.c 17880 Farmington Rd Unit B Livonia MI 48152-3104 Ph: (734) 744-8560 | Home Mds L.l.c 17880 Farmington Rd Unit B Livonia MI 48152-3104 Ph: (734) 744-8560 |
| NPI Number | 1679739122 |
|---|---|
| Provider Enumeration Date | 08/04/2008 |
| Last Update Date | 08/06/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679739122 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | 36977 (Michigan) | Primary |
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