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Individual

CAPRICE MCKINNON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
32255 W 12 MILE RD APT 6, FARMINGTON HILLS, MI 48334-3560
(248) 579-3416
Mailing address
29155 NORTHWESTERN HWY STE 632, SOUTHFIELD, MI 48034-1011

Taxonomy

Speciality
Code
Description
License number
State
251T00000X
PACE Provider Organization
261QA0600X
Adult Day Care Clinic/Center
Primary
261QR0800X
Recovery Care Clinic/Center
310400000X
Assisted Living Facility
311ZA0620X
Adult Care Home Facility
332B00000X
Durable Medical Equipment & Medical Supplies
343900000X
Non-emergency Medical Transport (VAN)
3747P1801X
Personal Care Attendant
374U00000X
Home Health Aide
385H00000X
Respite Care

Other

Enumeration date
02/13/2021
Last updated
02/13/2021
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