Individual
PATRICIA ANN THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CAREGIVER
Contact information
Practice address
18424 RUNYON ST, DETROIT, MI 48234-3828
(313) 784-3887
Mailing address
18424 RUNYON ST, DETROIT, MI 48234-3828
(313) 784-3887
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
9118096
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0073121364
—
MI
Enumeration date
06/25/2024
Last updated
06/25/2024
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