Organization
MAGIC HANDS THERAPEUTIC SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DIONNE N SHELL PTCLT (OWNER)
(313) 680-0655
Entity
Organization
Contact information
Practice address
16166 FENMORE ST, DETROIT, MI 48235-3419
(313) 680-0655
Mailing address
16166 FENMORE, DETROIT, MI 48235-3419
(313) 680-0655
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
5501009519
MI
Other
Enumeration date
07/02/2008
Last updated
07/02/2008
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