| Ethos at Home, LLC | |
|
29777 Telegraph Road Suite 410 Southfield MI 48034 | |
| (833) 574-0519 | |
| Not Available |
| Full Name | Ethos at Home, LLC |
|---|---|
| Speciality | Clinic/center |
| Location | 29777 Telegraph Road, Southfield, Michigan |
| Authorized Official Name and Position | Jonathan Walker (CEO) |
| Authorized Official Contact | 3527325590 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ethos at Home, LLC 1541 Southeast 17th Street Ocala FL 34471 Ph: (352) 732-5590 | Ethos at Home, LLC 29777 Telegraph Road Suite 410 Southfield MI 48034 Ph: (833) 574-0519 |
| NPI Number | 1225840036 |
|---|---|
| Provider Enumeration Date | 01/21/2025 |
| Last Update Date | 10/22/2025 |
| Certification Date | 10/22/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225840036 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (NU) | Primary |
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