Organization
COMPASSIONATE COMMUNITY CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SURRETTA SHIELDS (OWNER)
(810) 962-6196
Entity
Organization
Contact information
Practice address
6264 GREENVIEW DR, BURTON, MI 48509-1361
(810) 962-6196
Mailing address
6264 GREENVIEW DR, BURTON, MI 48509-1361
(810) 962-6196
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
Other
Enumeration date
01/26/2022
Last updated
01/26/2022
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