Organization
CARLA'S COMP-ANIONSHIP & CARE LLC
Active
Organization
CARLA'S COMP-ANIONSHIP & CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CARLA T. JEFFERSON BUSINESS OWNER (PRESIDENT)
(248) 495-9066
Entity
Organization
Contact information
Practice address
30739 TAMARACK ST. #40101, WIXOM, MI 48393
(248) 495-9066
Mailing address
30739 TAMARACK ST APT 40101, WIXOM, MI 48393-2733
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
—
—
Other
Enumeration date
05/03/2011
Last updated
05/03/2011
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