Organization
SMILEY PRIVATE HOMECARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CRYSTAL RUTH WILSON (OWNER)
(810) 423-2318
Entity
Organization
Contact information
Practice address
1098 ANN ARBOR RD #249, PLYMOUTH, MI 48170
(810) 423-2318
(248) 939-5875
Mailing address
PO BOX 651, GRAND BLANC, MI 48480
(810) 423-2318
(248) 939-5875
Taxonomy
Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary
—
—
Other
Enumeration date
04/26/2019
Last updated
12/04/2019
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