Organization
FASTEMPS II
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TREVOR STEWART MACDONALD (SITE SUPERVISOR)
(517) 927-2007
Entity
Organization
Contact information
Practice address
620 S HEWITT RD, YPSILANTI, MI 48197-4807
(734) 484-3668
Mailing address
620 S HEWITT RD, YPSILANTI, MI 48197-4807
(734) 484-3668
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
09/06/2024
Last updated
09/06/2024
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