- Enrollment id
- O20050103000311
- Enrollment state
- MI
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1710957121
- Multiple npi flag
- N
- Ccn
- 237474
- Associate id
- 6901864305
- Organization name
- PARRISH HOME HEALTHCARE
- Doing business as name
- PARRISH HOME HEALTHCARE
- Incorporation date
- 2001-09-01
- Incorporation state
- MI
- Organization type structure
- LLC
- Proprietary nonprofit
- P
- Address line 1
- 25925 TELEGRAPH RD
- Address line 2
- STE 202
- City
- SOUTHFIELD
- State
- MI
- Zip code
- 480332527