- Enrollment id
- O20110707000112
- Enrollment state
- MI
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1962849570
- Multiple npi flag
- N
- Ccn
- 239280
- Associate id
- 6507044948
- Organization name
- M&Y CARE, LLC
- Incorporation date
- 2006-03-16
- Incorporation state
- MI
- Organization type structure
- LLC
- Proprietary nonprofit
- P
- Address line 1
- 7125 ORCHARD LAKE RD
- Address line 2
- SUITE 210
- City
- WEST BLOOMFIELD
- State
- MI
- Zip code
- 483223618