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Individual

MARK BSHARA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
THE GODS CARE AGENCY

Contact information

Practice address
46290 HAMPTON DR, SHELBY TOWNSHIP, MI 48315-5608
(770) 773-0008
Mailing address
46290 HAMPTON DR, SHELBY TOWNSHIP, MI 48315-5608
(770) 773-0008

Taxonomy

Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
MI
374U00000X
Home Health Aide
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1306431184
MI
Enumeration date
08/17/2023
Last updated
03/01/2026
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