Provider Demographics
NPI:1548496318
Name:EXPRESS HOME HEALTH CARE INC
Entity type:Organization
Organization Name:EXPRESS HOME HEALTH CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MUHAMMAD
Authorized Official - Middle Name:S
Authorized Official - Last Name:AWAISI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:313-582-3111
Mailing Address - Street 1:10365 HAGGERTY ST
Mailing Address - Street 2:
Mailing Address - City:DEARBORN
Mailing Address - State:MI
Mailing Address - Zip Code:48126-2485
Mailing Address - Country:US
Mailing Address - Phone:313-582-3111
Mailing Address - Fax:313-582-3116
Practice Address - Street 1:10365 HAGGERTY ST
Practice Address - Street 2:
Practice Address - City:DEARBORN
Practice Address - State:MI
Practice Address - Zip Code:48126-2485
Practice Address - Country:US
Practice Address - Phone:313-582-3111
Practice Address - Fax:313-582-3116
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-06
Last Update Date:2009-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health