Individual
TAWANNA Q KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
18714 FORRER ST, DETROIT, MI 48235-2911
(313) 694-7770
Mailing address
18714 FORRER ST, DETROIT, MI 48235-2911
(313) 694-7770
Taxonomy
Speciality
Code
Description
License number
State
174200000X
Meals Provider
—
—
251E00000X
Home Health Agency
—
—
372500000X
Chore Provider
Primary
—
—
374U00000X
Home Health Aide
—
—
Other
Enumeration date
01/02/2023
Last updated
01/12/2023
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