Individual
TAMIKA COLEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6753 RUTHERFORD ST, DETROIT, MI 48228-3756
(313) 427-4161
Mailing address
PO BOX 32181, DETROIT, MI 48232-0181
(313) 437-5181
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
797550
—
MI
01
—
8980289
PROVIDER ID
MI
Enumeration date
09/07/2019
Last updated
04/02/2024
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