Individual
ALITA PHARR-ROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
45332 BURGUNDY DR, MACOMB, MI 48044-6037
(313) 643-8590
Mailing address
45332 BURGUNDY DR, MACOMB, MI 48044-6037
(313) 643-8590
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
138170
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
23238
HOME HELP PROVIDER
MI
Enumeration date
11/17/2016
Last updated
11/17/2016
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