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Organization

NAPRN

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. STACEY SHERRILL CONYERS (OWNER)
(313) 523-7925
Entity
Organization

Contact information

Practice address
9680 REGENT CIR, 203, TAYLOR, MI 48180-7534
(313) 523-7925
Mailing address
9680 REGENT CIR, 203, TAYLOR, MI 48180-7534
(313) 523-7925

Taxonomy

Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary

Other

Enumeration date
10/23/2009
Last updated
10/23/2009
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