Organization
OCEANSBLUE 24 HR HOME CARE 4
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIONA DWAYNA GIST (OWNER)
(248) 818-4025
Entity
Organization
Contact information
Practice address
15336 WASHBURN ST, DETROIT, MI 48238-1662
(248) 818-4025
Mailing address
15336 WASHBURN, DETROIT, MI 48238
(248) 818-4025
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
—
—
Other
Enumeration date
11/16/2016
Last updated
11/16/2016
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