Organization
BENITA NICOLE-HAZEL JONES TRUST
Active
Other names
Benita Nicole Oliver
Organization subpart
No
Provider details
NPI number
Authorized official
BENITA NICOLE OLIVER (TRUSTEE)
(313) 303-3807
Entity
Organization
Contact information
Practice address
9645 BRAMELL, DETROIT, MI 48239-1369
(313) 303-3807
Mailing address
9645 BRAMELL, DETROIT, MI 48239-1369
(313) 303-3807
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
—
—
171WH0202X
Home Modifications Contractor
—
—
171WV0202X
Vehicle Modifications Contractor
—
—
172A00000X
Driver
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251E00000X
Home Health Agency
—
—
251X00000X
Supports Brokerage Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
347C00000X
Private Vehicle
—
—
347E00000X
Transportation Broker
—
—
372500000X
Chore Provider
—
—
372600000X
Adult Companion
—
—
3747A0650X
Attendant Care Provider
—
—
374U00000X
Home Health Aide
—
—
376K00000X
Nurse's Aide
Primary
—
—
Other
Enumeration date
03/07/2023
Last updated
03/07/2023
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