Organization
DEBREECA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBREECA BYRD (LPN)
(313) 437-5254
Entity
Organization
Contact information
Practice address
14855 ROSEMONT AVE, DETROIT, MI 48223-2340
(313) 437-5254
Mailing address
14855 ROSEMONT AVE, DETROIT, MI 48223-2340
Taxonomy
Speciality
Code
Description
License number
State
3140N1450X
Pediatric Skilled Nursing Facility
Primary
4703109404
MI
Other
Enumeration date
05/20/2015
Last updated
05/20/2015
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