Organization
IMPERIAL JEWELRY BY ELLICE, INC
Active
Other names
Imperial Home Care
Organization subpart
No
Provider details
NPI number
Authorized official
SHERRIE JONES (OWNER)
(313) 408-9689
Entity
Organization
Contact information
Practice address
13704 KEAL ST # 101, DETROIT, MI 48227-3019
(313) 408-9689
Mailing address
13704 KEAL ST # 101, DETROIT, MI 48227-3019
(313) 408-9689
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
8087057
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8087057
—
MI
Enumeration date
08/02/2018
Last updated
08/02/2018
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