Individual
LASHONDA GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15253 POND VILLAGE DR, TAYLOR, MI 48180-4897
(313) 826-8748
Mailing address
15253 POND VILLAGE DR, TAYLOR, MI 48180-4897
(313) 826-8748
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Enumeration date
08/25/2015
Last updated
08/25/2015
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