Organization
A MEMORY FOR LIFE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHLEEN JENNIFER SKINNER (OWNER/OPERATOR)
(586) 383-2269
Entity
Organization
Contact information
Practice address
22424 MILNER ST, SAINT CLAIR SHORES, MI 48081-2003
(586) 383-2269
Mailing address
22424 MILNER ST, SAINT CLAIR SHORES, MI 48081-2003
(586) 383-2269
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
251G00000X
Community Based Hospice Care Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
347C00000X
Private Vehicle
—
—
385H00000X
Respite Care
Primary
—
—
Other
Enumeration date
07/27/2016
Last updated
07/27/2016
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