Individual
PHYLLIS HOGAN-MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2540 WOODROW WILSON BLVD, APT 1, ORCHARD LAKE, MI 48324-1723
(248) 977-4085
Mailing address
2540 WOODROW WILSON BLVD, APT 1, ORCHARD LAKE, MI 48324-1723
(248) 977-4085
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
—
—
372500000X
Chore Provider
Primary
—
—
372600000X
Adult Companion
—
—
374U00000X
Home Health Aide
—
—
376J00000X
Homemaker
—
—
Other
Enumeration date
03/28/2012
Last updated
03/28/2012
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