OrganizationInterstate Home Health, LlcHome HealthAgenciesPractice Address27177 Lahser Rd Ste 102, Southfield, MI 48034-8467(248) 809-2500PECOS EnrollmentBased on the most recent information from CMS, provider Interstate Home Health, Llc does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1114571692Provider TypeOrganizationFull NameInterstate Home Health, LlcSubpartNoEnumeration Date8/1/2019Last Updated11/21/2019Contact InformationPractice LocationPractice Address27177 Lahser Rd Ste 102, Southfield, MI 48034-8467Phone(248) 809-2500Fax(248) 809-3777Mailing LocationMailing Address27177 Lahser Rd Ste 102, Southfield, MI 48034-8467Phone(248) 809-2500Fax(248) 809-3777Authorized OfficialNameKnouna, Maysarsh (President)Phone(248) 809-2500Provider TaxonomiesCodeDescriptionLicenseCode251E00000XPrimaryDescriptionHome HealthAgenciesLicenseUnlisted Issuer