Individual
CHARLES CHISOM OBI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
300 CAMPBELL ST, RIVER ROUGE, MI 48218-1011
(313) 744-2001
Mailing address
300 CAMPBELL ST, RIVER ROUGE, MI 48218-1011
(313) 744-2001
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
374U00000X
Home Health Aide
—
—
Other
Enumeration date
07/26/2021
Last updated
07/26/2021
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