Provider Demographics
NPI:1386947455
Name:ELEGANT HOME HEALTH CARE LLC
Entity type:Organization
Organization Name:ELEGANT HOME HEALTH CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:TOWQEEDA
Authorized Official - Middle Name:
Authorized Official - Last Name:ARSHAD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:734-459-8050
Mailing Address - Street 1:5840 N CANTON CENTER RD
Mailing Address - Street 2:SUITE # 220, ROOM 2
Mailing Address - City:CANTON
Mailing Address - State:MI
Mailing Address - Zip Code:48187-2684
Mailing Address - Country:US
Mailing Address - Phone:734-459-8050
Mailing Address - Fax:734-459-8051
Practice Address - Street 1:5840 N CANTON CENTER RD
Practice Address - Street 2:SUITE # 220, ROOM 2
Practice Address - City:CANTON
Practice Address - State:MI
Practice Address - Zip Code:48187-2684
Practice Address - Country:US
Practice Address - Phone:734-459-8050
Practice Address - Fax:734-459-8051
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-12-13
Last Update Date:2010-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health