# MICHELLE MONIQUE MITCHELL

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

## Provider details

- **NPI number:** 1760712723
- **Authorized official:** MRS. MICHELLE MONIQUE MITCHELL (INDIVIDUAL)
- **Authorized official phone:** (517) 414-4640

## Contact information

- **Practice address:** 7957 BRANDON DR, PARMA, MI 49269-9519
- **Practice address phone:** (517) 414-4640
- **Mailing address:** 7957 BRANDON DR, PARMA, MI 49269-9519
- **Mailing address phone:** (517) 414-4640

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 385H00000X | Respite Care | — | NULL | Yes |

## Other

- **Enumeration date:** 01/13/2010
- **Last updated:** 01/13/2010