Provider Demographics
NPI:1427273093
Name:FAMILY ALLIANCE HOME HEALTH CARE, LLC
Entity type:Organization
Organization Name:FAMILY ALLIANCE HOME HEALTH CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MUHAMMAD
Authorized Official - Middle Name:S
Authorized Official - Last Name:MALIK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-840-1848
Mailing Address - Street 1:26711 WOODWARD AVE
Mailing Address - Street 2:SUITE#LL2
Mailing Address - City:HUNTINGTON WOODS
Mailing Address - State:MI
Mailing Address - Zip Code:48070-1333
Mailing Address - Country:US
Mailing Address - Phone:248-840-1848
Mailing Address - Fax:248-336-8692
Practice Address - Street 1:46301 RIVERWOODS DR
Practice Address - Street 2:
Practice Address - City:MACOMB
Practice Address - State:MI
Practice Address - Zip Code:48044-5760
Practice Address - Country:US
Practice Address - Phone:248-840-1848
Practice Address - Fax:248-246-8051
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-17
Last Update Date:2008-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health