Individual
MICHAEL JEROME MCGAUGHY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CAREGIVER
Contact information
Practice address
17206 GLASTONBURY RD, DETROIT, MI 48219-4130
(313) 333-9715
Mailing address
17206 GLASTONBURY RD, DETROIT, MI 48219-4130
(313) 333-9715
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Enumeration date
09/01/2022
Last updated
09/01/2022
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