Organization
NOLAN GREY HOME CARE AGENCY AND RESOURCE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANITA R EDISON (OWNER/PRESIDENT)
(313) 315-1526
Entity
Organization
Contact information
Practice address
4119 19TH ST, ECORSE, MI 48229-1244
(313) 315-1526
Mailing address
PO BOX 1165, LINCOLN PARK, MI 48146-1165
(313) 315-1526
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
05/04/2017
Last updated
05/04/2017
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