Individual
AKEISTA MARIE POOLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9226 GRANDVILLE AVE, DETROIT, MI 48228-1722
(734) 621-1152
Mailing address
9226 GRANDVILLE AVE, DETROIT, MI 48228-1722
(734) 621-1152
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
MI00000999
MI
251E00000X
Home Health Agency
Primary
MI000009996
MI
Other
Enumeration date
06/17/2022
Last updated
06/17/2022
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