- Enrollment id
- O20050817000377
- Enrollment state
- MI
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1992768550
- Multiple npi flag
- N
- Ccn
- 237459
- Associate id
- 4688604846
- Organization name
- RESIDENTIAL HOME HEALTH, LLC
- Doing business as name
- RESIDENTIAL HOME HEALTH
- Incorporation date
- 2000-06-12
- Incorporation state
- MI
- Organization type structure
- LLC
- Proprietary nonprofit
- P
- Address line 1
- 5440 CORPORATE DR
- Address line 2
- STE 400
- City
- TROY
- State
- MI
- Zip code
- 480982645