Individual
RAECHEL WAFFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11119 WHITEHILL ST, DETROIT, MI 48224-2467
(586) 436-9777
Mailing address
11119 WHITEHILL ST, DETROIT, MI 48224-2467
(586) 436-9777
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
W163730081620
—
MI
Enumeration date
06/07/2021
Last updated
06/07/2021
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