Organization
GLENDALE ATTENDANT CARE AGENCY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BRANDI CIERRA BARNES (HOME HEALTH AIDE)
(313) 212-8782
Entity
Organization
Contact information
Practice address
4302 W BUENA VISTA ST, DETROIT, MI 48238-3276
(313) 212-8782
Mailing address
4302 W BUENA VISTA ST, DETROIT, MI 48238-3276
(313) 212-8782
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
NO LICENSE REQUIRED
MI
Other
Enumeration date
01/09/2015
Last updated
01/10/2015
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