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NPI 1447773593

OrganizationActive

112 Group

NPI 1447773593 · In Home Supportive Care Agency · Macomb, MI

Provider details

NPI number: 1447773593
Entity type: Organization
Primary specialty: In Home Supportive Care AgencyAgencies
Authorized official: Mfon Umana-Odei, Operations Manager

Practice location

45034 Riverwoods Dr

Macomb, MI 48044-5780

Phone: (586) 239-0688

Fax: (586) 239-0688

More MI providers

Mailing address

42211 Garfield Rd Ste 231

Clinton Township, MI 48038-1648

Registry dates

Enumerated: 2017-07-20
Last updated: 2017-07-20

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

112 Group — NPI 1447773593, Macomb, MI | NPI Central