Individual
SHARRON GENEVA DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
HOME CARE PROVIDER
Contact information
Practice address
440 CHERRY GROVE RD, CANTON, MI 48188-5260
(734) 828-9154
Mailing address
440 CHERRY GROVE RD, CANTON, MI 48188-5260
(734) 828-9153
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
802039433
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
802039433
IDENTIFICATION NUMBER
MI
Enumeration date
03/12/2019
Last updated
03/12/2019
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