Organization
BENITA NICOLE-HAZEL JONES TRUST
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BENITA OLIVER (TRUSTEE)
(313) 303-3807
Entity
Organization
Contact information
Practice address
9645 BRAMELL, DETROIT, MI 48239-1369
(313) 303-3807
Mailing address
9645 BRAMELL, DETROIT, MI 48239-1369
(313) 303-3807
Taxonomy
Speciality
Code
Description
License number
State
174200000X
Meals Provider
—
—
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
342000000X
Transportation Network Company
—
—
347C00000X
Private Vehicle
—
—
347E00000X
Transportation Broker
—
—
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
01/10/2024
Last updated
01/10/2024
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