Organization
CO-RECT CO-NECT REPS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANISE PETTICORD LPN (OWNER/MANAGER)
(313) 624-1067
Entity
Organization
Contact information
Practice address
5736 AUDUBON RD, DETROIT, MI 48224-2665
(313) 624-1067
Mailing address
5736 AUDUBON RD, DETROIT, MI 48224-2665
(313) 624-1067
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
04/08/2024
Last updated
04/08/2024
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