Provider Demographics
NPI:1558177709
Name:REFINED HOME HEALTH SERVICES
Entity type:Organization
Organization Name:REFINED HOME HEALTH SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LAROSA
Authorized Official - Middle Name:ELIZABETH
Authorized Official - Last Name:JOHNSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:517-420-9865
Mailing Address - Street 1:732 W LAPEER ST
Mailing Address - Street 2:
Mailing Address - City:LANSING
Mailing Address - State:MI
Mailing Address - Zip Code:48915-1944
Mailing Address - Country:US
Mailing Address - Phone:517-420-9685
Mailing Address - Fax:517-657-4625
Practice Address - Street 1:732 W LAPEER ST
Practice Address - Street 2:
Practice Address - City:LANSING
Practice Address - State:MI
Practice Address - Zip Code:48915-1944
Practice Address - Country:US
Practice Address - Phone:517-420-9865
Practice Address - Fax:517-918-2171
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-03
Last Update Date:2024-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health