# CHARISSE SUSZEK

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1558113282
- **Authorized official:** CHARISSE SUSZEK (HOME HEALTH AIDE)
- **Authorized official phone:** (989) 884-1674

## Contact information

- **Practice address:** 150 WENONAH DR APT 11, ROGERS CITY, MI 49779-2102
- **Practice address phone:** (989) 884-1674
- **Mailing address:** 308 S 8TH AVE APT 1, ALPENA, MI 49707-2583
- **Mailing address phone:** (989) 884-1674

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 04/04/2024
- **Last updated:** 04/04/2024