Organization
.MO'S SHOWER EXPRESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MONQUELIA LAVETTE MCCLINTON C.N.A (NURSING ASSISTANT)
(586) 235-7098
Entity
Organization
Contact information
Practice address
4154 KLINK ST, INKSTER, MI 48141-2745
(586) 235-7098
Mailing address
4154 KLINK ST, INKSTER, MI 48141
(586) 235-7098
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
4809
MI
Other
Enumeration date
11/30/2016
Last updated
11/30/2016
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