Organization
PREFERRED PROVIDERS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TAMMY LOUISE CLELAND L.P.N. (ADMINISTRATOR/OWNER)
(734) 213-7072
Entity
Organization
Contact information
Practice address
4261 PARK RD, ANN ARBOR, MI 48103-9508
(734) 213-7072
(734) 213-7790
Mailing address
4261 PARK RD, ANN ARBOR, MI 48103-9508
(734) 213-7072
(734) 213-7790
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1154427789
—
MI
Enumeration date
09/14/2006
Last updated
02/16/2015
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