Organization
JOHN CHANNING ENTERPRISES, INC
Active
Other names
BrightStar Care of Grosse Pointe/Southeast Macomb
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN CHANNING (PRESIDENT)
(248) 279-3610
Entity
Organization
Contact information
Practice address
22811 GREATER MACK AVE STE 109, SAINT CLAIR SHORES, MI 48080-2053
(586) 279-3610
Mailing address
10822 SPARKLING WATERS CT, SOUTH LYON, MI 48178-9494
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1720516156
NPI
—
Enumeration date
09/05/2017
Last updated
06/11/2019
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