# EMINENCE HOME HEALTH

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

## Provider details

- **NPI number:** 1679704886
- **Authorized official:** MS. ALICIA SHARAIM SMILEY-FULLER (CERTIFIED NURSING ASSISTANT)
- **Authorized official phone:** (313) 778-6868

## Contact information

- **Practice address:** 20061 BENTLER ST, DETROIT, MI 48219-1325
- **Practice address phone:** (313) 778-6868
- **Mailing address:** 20061 BENTLER ST, DETROIT, MI 48219-1325
- **Mailing address phone:** (313) 778-6868

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 313M00000X | Nursing Facility/Intermediate Care Facility | 376K00000X | MI | Yes |

## Other

- **Enumeration date:** 08/05/2009
- **Last updated:** 08/05/2009