Organization
CLEANSING THE DERMA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BIANCA MORRIS (REGISTERED NURSE)
(586) 362-0951
Entity
Organization
Contact information
Practice address
24629 BERRY AVE, WARREN, MI 48089-2170
(586) 362-0951
Mailing address
24629 BERRY AVE, WARREN, MI 48089-2170
(586) 362-0951
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
12/08/2021
Last updated
12/08/2021
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