- Enrollment id
- O20081008000447
- Enrollment state
- MI
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1871751651
- Multiple npi flag
- N
- Ccn
- 239130
- Associate id
- 2567530272
- Organization name
- INFINITY HOME HEALTH SERVICES, PC
- Incorporation date
- 2008-07-02
- Incorporation state
- MI
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 26645 W 12 MILE RD
- Address line 2
- STE 206
- City
- SOUTHFIELD
- State
- MI
- Zip code
- 480347812