Individual
RUBIE JEAN PAYNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
G3500 FLUSHING RD STE 209, FLINT, MI 48504-4247
(810) 422-5044
(810) 422-5044
Mailing address
3225 FOREST HILL AVE, FLINT, MI 48504-2653
(810) 422-5044
(810) 422-5044
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
372500000X
Chore Provider
Primary
—
MI
376J00000X
Homemaker
—
—
385H00000X
Respite Care
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
866096
—
MI
Enumeration date
12/18/2018
Last updated
12/18/2018
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