Organization
RESPITE CARE SERVICES EEMC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SONYA DANIELLE WATERS MHMA (HOME CARE ADMINISTRATION)
(810) 233-0621
Entity
Organization
Contact information
Practice address
1701 LAUREL OAK DR, FLINT, MI 48507-2210
(810) 233-0621
Mailing address
1701 LAUREL OAK DR, FLINT, MI 48507-2210
(810) 233-0621
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
172V00000X
Community Health Worker
—
—
174H00000X
Health Educator
—
—
175T00000X
Peer Specialist
—
—
372500000X
Chore Provider
—
—
372600000X
Adult Companion
—
—
3747A0650X
Attendant Care Provider
—
—
374U00000X
Home Health Aide
Primary
—
—
376K00000X
Nurse's Aide
—
—
405300000X
Prevention Professional
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8431278
STATE OF MICHIGAN PROVIDER ID
MI
01
—
VS0082275
SIGMA VSS ID
MI
Enumeration date
01/02/2019
Last updated
01/02/2019
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