Organization
EMINENCE HOME HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ALICIA SHARAIM SMILEY-FULLER (CERTIFIED NURSING ASSISTANT)
(313) 778-6868
Entity
Organization
Contact information
Practice address
20061 BENTLER ST, DETROIT, MI 48219-1325
(313) 778-6868
Mailing address
20061 BENTLER ST, DETROIT, MI 48219-1325
(313) 778-6868
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
376K00000X
MI
Other
Enumeration date
08/05/2009
Last updated
08/05/2009
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