Individual
SHONDA RUSHING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2941 S GULLEY RD, DEARBORN, MI 48124-3160
(313) 278-3040
Mailing address
2941 S GULLEY RD, DEARBORN, MI 48124-3160
(313) 278-3040
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
08/24/2021
Last updated
08/24/2021
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