Organization
THE G MCCOY GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. AISHA MCCOY (CEO)
(248) 281-3299
Entity
Organization
Contact information
Practice address
29551 GREENFIELD RD STE 213, SOUTHFIELD, MI 48076-5872
(248) 281-3299
(248) 281-3585
Mailing address
29551 GREENFIELD RD STE 213, SOUTHFIELD, MI 48076-5872
(248) 281-3299
(248) 281-3585
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
374U00000X
Home Health Aide
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8469847
—
MI
Enumeration date
05/21/2018
Last updated
05/21/2018
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