Organization
CIRCLE OF SUPPORT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENA GEE (ADMINISTRATOR)
(404) 434-0070
Entity
Organization
Contact information
Practice address
29858 HANOVER BLVD, WESTLAND, MI 48186-5178
(404) 434-0070
(734) 331-2364
Mailing address
29858 HANOVER BLVD, WESTLAND, MI 48186-5178
(404) 434-0070
(734) 331-2364
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
—
—
374U00000X
Home Health Aide
—
—
Other
Enumeration date
02/22/2019
Last updated
02/22/2019
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