Organization
MIBELL HOME HEALTH CARE AGENCY LLC
Active
Other names
mibell home health care agency
Organization subpart
No
Provider details
NPI number
Authorized official
BRITTIANEE PETTAWAY (OWNER)
(248) 929-4645
Entity
Organization
Contact information
Practice address
28986 SUGAR ISLAND CT, GIBRALTAR, MI 48173-9578
(248) 929-4645
Mailing address
28986 SUGAR ISLAND CT, GIBRALTAR, MI 48173-9578
(248) 929-4645
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
—
—
Other
Enumeration date
05/29/2021
Last updated
05/15/2024
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