Individual
ANTHONY ROBERT FORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
15154 GOULD RD, ALLENTON, MI 48002-4206
(810) 705-1017
Mailing address
15154 GOULD RD, ALLENTON, MI 48002-4206
(810) 705-1017
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
372500000X
Chore Provider
—
—
Other
Enumeration date
07/31/2019
Last updated
07/31/2019
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