Individual
MRS. SARETA MARCILE BURNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4450 GATEWAY CIR STE 10, WEST BLOOMFIELD, MI 48322-3670
(313) 989-3250
Mailing address
4450 GATEWAY CIR STE 10, WEST BLOOMFIELD, MI 48322-3670
(313) 989-3250
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
822505006
—
MI
Enumeration date
02/07/2022
Last updated
02/07/2022
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