Provider Demographics
NPI:1043436470
Name:ATRIUM HOME & HEALTHCARE SERVICES INC.
Entity type:Organization
Organization Name:ATRIUM HOME & HEALTHCARE SERVICES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:DAMON
Authorized Official - Middle Name:
Authorized Official - Last Name:MAZUR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:586-756-6661
Mailing Address - Street 1:8033 E. TEN MILE RD.
Mailing Address - Street 2:SUITE 114
Mailing Address - City:CENTER LINE
Mailing Address - State:MI
Mailing Address - Zip Code:48015
Mailing Address - Country:US
Mailing Address - Phone:586-756-6661
Mailing Address - Fax:586-756-6933
Practice Address - Street 1:8033 E. TEN MILE RD.
Practice Address - Street 2:SUITE 114
Practice Address - City:CENTER LINE
Practice Address - State:MI
Practice Address - Zip Code:48015
Practice Address - Country:US
Practice Address - Phone:586-756-6661
Practice Address - Fax:586-756-6933
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-17
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health