Individual
MRS. KAHDIMA HENCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
18482 PIERSON ST, DETROIT, MI 48219-2562
(734) 829-8940
Mailing address
18482 PIERSON ST, DETROIT, MI 48219-2562
(734) 829-8940
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
—
MI
347C00000X
Private Vehicle
—
MI
374U00000X
Home Health Aide
Primary
—
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
F640461488567
IDENIFICATION CARD
MI
Enumeration date
05/04/2022
Last updated
05/04/2022
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