Individual
DORICE PEAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
14617 PENROD ST, DETROIT, MI 48223-2363
(313) 748-8115
Mailing address
14617 PENROD ST, DETROIT, MI 48223-2363
(313) 748-8115
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
4703122914
MI
Other
Enumeration date
10/02/2024
Last updated
10/02/2024
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