Individual
LUELLAN MCCOY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
18301 E 8 MILE RD STE 213, EASTPOINTE, MI 48021-3227
(313) 790-0644
Mailing address
18301 E 8 MILE RD STE 213, EASTPOINTE, MI 48021-3227
(313) 790-0644
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9107996
PROVIDER
MI
Enumeration date
01/10/2024
Last updated
01/10/2024
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