Organization
M&A ES LLCSQUARE NON MEDICAL HEALTH SERVIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AKA NKEMATABONG REGISTERED NURSE (REGISTERES NURSE/EMPLOYEE)
(313) 402-6348
Entity
Organization
Contact information
Practice address
20436 NORTHLAWN ST, DETROIT, MI 48221-1156
(313) 402-6348
Mailing address
20436 NORTHLAWN ST, DETROIT, MI 48221-1156
(313) 402-6348
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
251J00000X
Nursing Care Agency
—
—
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
07/24/2025
Last updated
07/24/2025
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