Individual
VALERIE PETTIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
20255 HARNED ST, DETROIT, MI 48234-1570
(248) 820-3338
Mailing address
20255 HARNED ST, DETROIT, MI 48234-1570
(248) 820-3338
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
372500000X
Chore Provider
—
—
372600000X
Adult Companion
—
—
374U00000X
Home Health Aide
Primary
—
—
376J00000X
Homemaker
—
—
376K00000X
Nurse's Aide
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8988161
HOME HEALTH PROVIDER
MI
Enumeration date
06/13/2022
Last updated
06/13/2022
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