Organization
EYEWITNESS AT YOUR SERVICE LLC
Active
Organization
EYEWITNESS AT YOUR SERVICE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROCHELLE L COADY (AUTHORIZED REPRESENTATIVE)
(586) 477-5458
Entity
Organization
Contact information
Practice address
46300 LAKESIDE PARK DR APT 104, SHELBY TWP, MI 48315-5543
(313) 753-0389
(586) 317-6056
Mailing address
46300 LAKESIDE PARK DR APT 104, SHELBY TWP, MI 48315-5543
(313) 753-0389
(586) 317-6056
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
04/27/2023
Last updated
05/01/2023
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