Provider Demographics
NPI:1023894433
Name:MADISON HR CENTER INC
Entity type:Organization
Organization Name:MADISON HR CENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:FABIOLA
Authorized Official - Middle Name:
Authorized Official - Last Name:KITTO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-548-9999
Mailing Address - Street 1:548 E 11 MILE RD
Mailing Address - Street 2:
Mailing Address - City:MADISON HTS
Mailing Address - State:MI
Mailing Address - Zip Code:48071-3702
Mailing Address - Country:US
Mailing Address - Phone:248-548-9999
Mailing Address - Fax:
Practice Address - Street 1:548 E 11 MILE RD
Practice Address - Street 2:
Practice Address - City:MADISON HTS
Practice Address - State:MI
Practice Address - Zip Code:48071-3702
Practice Address - Country:US
Practice Address - Phone:248-548-9999
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-01
Last Update Date:2023-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care