Individual
JUSTIN EVERETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
565 LONGFELLOW ST, INKSTER, MI 48141-3304
(313) 282-7862
Mailing address
565 LONGFELLOW ST, INKSTER, MI 48141-3304
(313) 282-7862
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
03/30/2020
Last updated
03/30/2020
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