Individual
MS. SIERRA DARNETTA LUCKEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AS IN HHS
Contact information
Practice address
12606 ELMDALE ST, DETROIT, MI 48213-1873
(313) 449-7136
Mailing address
12606 ELMDALE ST, DETROIT, MI 48213-1873
(313) 449-7136
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
311ZA0620X
Adult Care Home Facility
Primary
—
MI
Other
Enumeration date
06/16/2019
Last updated
04/17/2026
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