Organization
LOVELACE HOME HEALTH AGENCY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DEDRA DEFAY SHANNON (OWNER)
(586) 741-6136
Entity
Organization
Contact information
Practice address
167 BEYNE ST, MOUNT CLEMENS, MI 48043-2467
(586) 741-6136
(586) 741-6136
Mailing address
167 BEYNE ST, MOUNT CLEMENS, MI 48043-2467
(586) 741-6136
(586) 741-6136
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
11/21/2006
Last updated
08/22/2020
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