Individual
SAMUEL GROVE SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3423 CARPENTER RD, LOT 8, YPSILANTI, MI 48197-9632
(734) 217-6278
Mailing address
3423 CARPENTER RD, LOT 8, YPSILANTI, MI 48197-9632
(734) 217-6278
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
04/25/2016
Last updated
04/25/2016
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