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Organization

A PRIVATE CARE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ALIYAH HUDDLESTON (CERTIFIED NURSING ASSISTANT)
(352) 663-7773
Entity
Organization

Contact information

Practice address
8473 W OUTER DR, DETROIT, MI 48219-3574
(352) 663-7773
Mailing address
8473 W OUTER DR, DETROIT, MI 48219-3574
(352) 663-7773

Taxonomy

Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary

Other

Enumeration date
04/18/2025
Last updated
04/18/2025
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