Individual
ALICA MCKINNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
28082 RIVERBRIDGE DR, ROMULUS, MI 48174-2910
(734) 486-2848
Mailing address
29039 BURNING TREE LN, ROMULUS, MI 48174-3072
(734) 486-2848
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7794126
ADULT HOME HELP
MI
Enumeration date
09/21/2015
Last updated
09/21/2015
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