Individual
MRS. STACY FELICIA IRBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14055 ASBURY PARK, DETROIT, MI 48227-1387
(313) 405-2494
Mailing address
20390 BROOKSHIRE ST, SOUTHFIELD, MI 48076-4965
(313) 405-2494
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
172A00000X
Driver
—
—
372500000X
Chore Provider
—
—
372600000X
Adult Companion
—
—
374U00000X
Home Health Aide
—
—
Other
Enumeration date
02/29/2024
Last updated
02/29/2024
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