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Individual

TERRY GREENE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
8410 S SAINT MARTINS ST, DETROIT, MI 48221-1615
(313) 342-5146
Mailing address
18619 APPOLINE ST, DETROIT, MI 48235-1316
(734) 406-5970

Taxonomy

Speciality
Code
Description
License number
State
132700000X
Dietary Manager
146D00000X
Personal Emergency Response Attendant
172A00000X
Driver
174200000X
Meals Provider
251E00000X
Home Health Agency
Primary
253Z00000X
In Home Supportive Care Agency
332U00000X
Home Delivered Meals
372500000X
Chore Provider

Other

Enumeration date
04/14/2025
Last updated
04/14/2025
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