NPI 1679739122

Home Mds L.L.C

Organisation General Practice Physician Livonia, MI

Practice location

Address: 17880 Farmington Rd Unit B, Livonia, MI 48152-3104
Phone: (734) 744-8560
Fax: (734) 744-8563

Authorised official

Name: Fanny Aguirre Dela Cruz
Title: Administrative Director
Phone: (734) 744-8560

Registered specialties

General Practice Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208D00000X Licence 36977 (MI)

Other General Practice providers in Michigan →

Registry record

NPI: 1679739122
Entity type: Organization
NPI issued: 4 Aug 2008
Record last updated: 6 Aug 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.