- Enrollment id
- O20210108001418
- Enrollment state
- MI
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1821601261
- Multiple npi flag
- N
- Ccn
- 239336
- Associate id
- 5496168544
- Organization name
- SHLAMA HOME HEALTH CARE INC
- Incorporation date
- 2020-08-17
- Incorporation state
- MI
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 3058 METROPOLITAN PKWY
- Address line 2
- STE 205
- City
- STERLING HEIGHTS
- State
- MI
- Zip code
- 483103680