| Homecare Doctors Llc | |
|
2990 W Grand Blvd Suite 408 Detroit MI 48202-3041 | |
| (313) 874-4436 | |
| Not Available |
| Full Name | Homecare Doctors Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 2990 W Grand Blvd, Detroit, Michigan |
| Authorized Official Name and Position | Charles Mcrae (ADMINISTRATOR) |
| Authorized Official Contact | 3138744436 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Homecare Doctors Llc 2990 W Grand Blvd Suite 408 Detroit MI 48202-3041 Ph: (313) 874-4436 | Homecare Doctors Llc 2990 W Grand Blvd Suite 408 Detroit MI 48202-3041 Ph: (313) 874-4436 |
| NPI Number | 1487723771 |
|---|---|
| Provider Enumeration Date | 11/08/2006 |
| Last Update Date | 03/12/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487723771 | NPI | - | NPPES |
| 1144240458 | Other | MI | JOHN MCCOLLOUGH MD |
| 1770553521 | Other | MI | ALPHONSO BERRY MD |
| 110H211060 | Other | MI | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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