Organization
HCMSD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHATOYA BUCKLEY (COO)
(248) 506-1136
Entity
Organization
Contact information
Practice address
19032 ROSETTA AVE, EASTPOINTE, MI 48021-2655
(248) 506-1136
Mailing address
19032 ROSETTA AVE, EASTPOINTE, MI 48021-2655
(248) 506-1136
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
04/03/2024
Last updated
04/03/2024
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