Organization
VETTED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EVAN M SHELLINE (MANAGING MEMBER)
(248) 514-8571
Entity
Organization
Contact information
Practice address
2125 BUTTERFIELD DR STE 299, TROY, MI 48084-3441
(248) 514-8571
Mailing address
2125 BUTTERFIELD DR STE 299, TROY, MI 48084-3441
(248) 514-8571
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
03/22/2024
Last updated
03/22/2024
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